(XLS 25 KB) References 1 Valencia IC, Falabella A, Kirsner RS, E

(XLS 25 KB) References 1. Valencia IC, Falabella A, Kirsner RS, Eaglstein WH: Chronic venous insufficiency and venous leg ulceration. J Am Acad Dermatol 2001, 44:401–421.CrossRefPubMed 2. Chadwick J, Mann WN: The medical works of Hippocrates Oxford: Blackwell 1950. 3. van Gent WB, Hop WC, van Praag MC, Mackaay AJ, de Boer EM, Wittens CH: Conservative versus surgical treatment of venous leg ulcers: a STAT inhibitor prospective, randomized, multicenter trial. J Vasc Surg 2006, 44:563–571.CrossRefPubMed 4. Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D: The epidemiology of chronic venous insufficiency see more and varicose veins. Ann Epidemiol 2005, 15:175–184.CrossRefPubMed 5. Smith PC: The causes

of skin damage and leg

ulceration in chronic venous disease. Int J Low Extrem Wounds 2006, 5:160–168.CrossRefPubMed 6. Brem H, Kirsner RS, Falanga V: Protocol for the successful treatment CFTRinh-172 purchase of venous ulcers. Am J Surg 2004, 188:1–8.CrossRefPubMed 7. Wolcott RD, Ehrlich GD: Biofilms and chronic infections. JAMA 2008, 299:2682–2684.CrossRefPubMed 8. Acosta-Martinez V, Dowd SE, Sun Y, Allen V: Tag-encoded pyrosequencing analysis of bacterial diversity in a single soil type as affected by management and land use. Soil Biol Biochem 2009, 4:2762–2770. 9. Dowd SE, Wolcott RD, Sun Y, McKeehan T, Smith E, Rhoads D: Polymicrobial nature of chronic diabetic foot ulcer biofilm infections determined using bacterial tag encoded FLX amplicon pyrosequencing (bTEFAP). PLoS ONE 2008, 3:e3326.CrossRefPubMed 10. Dowd SE, Sun Y, Wolcott RD, Domingo A, Carroll JA: Bacterial tag-encoded FLX amplicon pyrosequencing (bTEFAP) for microbiome Methocarbamol studies: bacterial diversity in the ileum of newly weaned Salmonella-infected pigs. Foodborne Pathog Dis 2008, 5:459–472.CrossRefPubMed 11. Dowd SE, Callaway TR, Wolcott RD, Sun Y, McKeehan T, Hagevoort RG, Edrington TS: Evaluation of the bacterial diversity in the feces of cattle using 16S rDNA bacterial tag-encoded FLX amplicon pyrosequencing (bTEFAP). BMC Microbiol 2008, 8:125.CrossRefPubMed

12. Wolcott RD, Dowd SE: A rapid molecular method for characterising bacterial bioburden in chronic wounds. J Wound Care 2008, 17:513–516.PubMed 13. Wolcott RD, Gontcharova V, Sun Y, Zischkau AM, Dowd SE: Bacterial diversity in surgical site infections: not just aerobic cocci any more. J Wound Care 2009, 18:317–323.PubMed 14. Wolcott RD, Rhoads DD, Dowd SE: Biofilms and chronic wound inflammation. J Wound Care 2008, 17:333–341.PubMed 15. Dowd SE, Sun Y, Secor PR, Rhoads DD, Wolcott BM, James GA, Wolcott RD: Survey of bacterial diversity in chronic wounds using pyrosequencing, DGGE, and full ribosome shotgun sequencing. BMC Microbiol 2008, 8:43.CrossRefPubMed 16. Leake JL, Dowd SE, Wolcott RD, Zischkau AM: Identification of yeast in chronic wounds using new pathogen-detection technologies. J Wound Care 2009, 18:103–4. 106, 108PubMed 17.

Concluding remarks Our results clearly demonstrate that selenite

Concluding remarks Our results clearly demonstrate that selenite causes a complex pattern of cell death in malignant mesothelioma cells. Selenite causes Selleckchem FHPI both apoptosis and necrosis, but cells exhibiting apoptotic characteristics such as Annexin V externalisation do not necessarily display other classical apoptosis-related changes such as caspase-activation [6, 18, 40]. It appears purposeful to consider selenite-induced cell death to

lie on a spectrum between apoptosis and necrosis, where the exact mode of cell death differs depending on phenotype characteristics. Our results indicate that mesothelioma cells activate p38 and JNK in response to selenite, and that they accumulate p53 in the nucleus, but in a form bereft of DNA-binding activity. We hypothesise that this interesting phenomenon is due to a shift in redox balance towards a prooxidative state with increased levels of reactive oxygen species (ROS) and a loss of thioredoxin system activity. Sarcomatoid mesothelioma cells, although ordinarily chemoresistant, are more sensitive to selenite than epithelioid cells [1]. The differential activation of apoptosis-signaling proteins on the level of the mitochondrion may partially explain the observed differences in sensitivity. A better understanding of the proapoptotic mechanisms of selenite as well as of phenotype-dependent response patterns in mesothelioma cells

will aid the development Buparlisib of Selleck KU55933 Cancer therapies with greater efficacy and which may be better suited to the diverse biology of individual tumors. Malignant mesothelioma is a heterogeneous entity, and further studies on differentiation-related sensitivity to selenite and other cytotoxic drugs are under way in our laboratory using a panel of cell lines of varying epithelioid-sarcomatoid differentiation. Acknowledgements

The authors are grateful to Mervi Nurminen, Gunilla Fahlström, and Anette Hofmann for their expert technical assistance, and to Kristin Gustafsson. This study has been supported by the Swedish Foundation for Strategic Research, the Swedish Heart and Lung foundation, the Swedish Cancer Fund, and the Swedish Cancer and Allergy Fund. Electronic supplementary material Additional file 1: Internal verification of the efficacy of apoptosis signalling enzyme inhibitors. An internal Tenofovir concentration verification of the efficacy of the inhibitors was established by their ability to reduce apoptosis in the control cells. Two-way ANOVA with Dunnett’s post test was used to compare the apoptosis frequency with the respective inhibitors to that in the control cells without any inhibitor. Asterisks denote p < 0.05. Data represent the same three independent experiments illustrated in figure 1. Bars indicate the standard error of the mean. (PDF 21 KB) Additional file 2: External verification of the efficacy of apoptosis signalling enzyme inhibitors. A-E: Apoptosis kinetics of Jurkat cells treated with staurosporine and chemical inhibitors, to verify that the inhibitors were able to alter the apoptotic rate.

Fig 2 Mean percent change

Fig. 2 Mean percent change Oligomycin A molecular weight (±SEM) from baseline in bone mineral density in women receiving risedronate 5-mg daily (dashed line with triangles) or 150-mg once a month (solid line with circles). Endpoint refers to the value calculated using the last observation carried forward at month 24. There were no statistically significant differences between treatment groups at any time point at any of these sites. OAM once a month There was no difference between treatment

groups in the occurrence of new incident vertebral fracture as determined by morphometric measurement during the study; 14 subjects (2.5 %) in the 5-mg daily group and 15 subjects (2.6 %) in the 150-mg once-a-month group experienced such a fracture. Significant www.selleckchem.com/products/ABT-263.html decreases from baseline in NTX/Cr, CTX, and BALP were observed at 3, 6, 12, and 24 months in

both treatment groups (Fig. 3). In general, changes from baseline in these biochemical markers were similar in both treatment groups. The small difference in CTX between groups was statistically significant at months 3, 6, and 12 but not at month 24. There was no statistically significant difference between treatment groups at 3-Methyladenine order endpoint (the last-observation-carried forward values at month 24) for any of the biochemical markers of bone turnover. Fig. 3 Mean percent change (±SEM) from baseline in biochemical markers of bone turnover in women receiving risedronate 5-mg daily (dashed line with

triangles) or Cell press 150-mg once a month (solid line with circles). Endpoint refers to the value calculated using the last observation carried forward at month 24. CTX C-terminal crosslinking telopeptide of type I collagen, NTX N-terminal crosslinking telopeptide of type I collagen, OAM once a month. *p < 0.05 indicates a statistically significant difference between treatment groups (unadjusted for multiple comparisons) Safety assessments Overall, the frequency of adverse events was similar in both treatment groups (Table 1). Among the most common adverse events, only diarrhea and influenza were more frequent in the monthly group compared with the daily group after 24 months. The difference between groups in these adverse events was primarily driven by events reported during the first few months of the study. Most events of diarrhea were mild or moderate in severity. One subject (0.2 %) in the 5-mg daily group and six subjects (0.9 %) in the 150-mg once-a-month group withdrew from the study as a result of diarrhea. All events of influenza were mild or moderate in severity, most occurred more than 90 days after the start of treatment, and none of the subjects withdrew because of influenza. More patients in the 150-mg once-a-month group reported serious adverse events than in the 5-mg daily group (Table 1).

Nanoscale Res Lett 2011, 6:560 CrossRef 33 Mariano A, Pastoriza-

Nanoscale Res Lett 2011, 6:560.CrossRef 33. Mariano A, Pastoriza-Gallego MJ, Lugo L, Camacho A, Canzonieri S, Piñeiro MM: Thermal conductivity, rheological behaviour and density of non-Newtonian ethylene glycol-based SnO 2 nanofluids. Fluid Phase Equilib 2013, 337:119–124.CrossRef 34. Fine RA, Millero FJ: Compressibility of water as a function of temperature and pressure. J Chem Phys 1973, 59:5529–5536.CrossRef #Blasticidin S research buy randurls[1|1|,|CHEM1|]# 35. Guignon B, Aparicio C, Sanz PD: Volumetric properties

of sunflower and olive oils at temperatures between 15 and 55°C under pressures up to 350 MPa. High Pressure Res 2009, 29:38–45.CrossRef 36. Mikhailov GM, Mikhailov VG, Reva LS, Ryabchuk GV: Precision fitting of the temperature dependence of density and prediction of the thermal expansion coefficient of liquids. Russ J Appl Chem 2005, 78:1067–1072.CrossRef 37. Diebold U: The surface science of titanium dioxide. Surf Sci Rep 2003, 48:53–229.CrossRef 38. Pastoriza-Gallego MJ,

Lugo L, Legido JL, Piñeiro MM: Enhancement of thermal conductivity and volumetric behaviour of Fe x O y nanofluids. J Appl Phys 2011, 110:014309.CrossRef 39. Pastoriza-Gallego MJ, Lugo L, Cabaleiro D, Legido JL, Piñeiro MM: Thermophysical profile of ethylene glycol-based ZnO nanofluids. Selleckchem Combretastatin A4 J Chem Thermodyn 2013. 40. Ding Y, Alias H, Wen D, Williams RA: Heat transfer of aqueous suspensions of carbon nanotubes (CNT nanofluids). Int J Heat Mass Transfer 2006, 49:240–250.CrossRef 41. Kwak K, Kim C: Viscosity and thermal conductivity of copper oxide nanofluid dispersed in ethylene glycol. Korea-Aust Rheol J 2005, 17:35–40. 42. Prasher R, Song D, Wang J, Phelan P: Measurements of nanofluid viscosity and its implications for thermal

applications. App Phys Lett 2006, 89:133108.CrossRef 43. Chen H, Ding Y, Tan C: Rheological behaviour of nanofluids. New J Phys 2007, 9:367.CrossRef Sclareol 44. Namburu PK, Kulkarni DP, Misra D, Das DK: Viscosity of copper oxide nanoparticles dispersed in ethylene glycol and water mixture. Exp Therm Fluid Sci 2007, 32:397–402.CrossRef 45. Chen H, Ding Y: Heat transfer and rheological behaviour of nanofluids – a review. In Advances in Transport Phenomena. Edited by: Wang L. Berlin: Springer; 2009:135–177.CrossRef 46. Haminiuk CWI, MacIel GM, Plata-Oviedo MSV, Quenehenn A, Scheer AP: Study of the rheological parameters of honey using the Mitschka method. Int J Food Eng 2009, 5:13. 47. Lindner A, Bonn D, Meunier J: Viscous fingering in a shear-thinning fluid. Phys Fluids 2000, 12:256–261.CrossRef 48. Santra AK, Sen S, Chakraborty N: Study of heat transfer due to laminar flow of copper-water nanofluid through two isothermally heated parallel plates. Int J Therm Sci 2009, 48:391–400.CrossRef 49. Alberto C, Naranjo TAO, Sierra JD: Plastics Testing and Characterization: Industrial Applications. Cincinnati: Hanser Gardner Publications; 2008. 50.

Genetic experiments indicated that this change in cell size homeo

Genetic experiments indicated that this change in cell size homeostasis involves production of the alarmone (p)ppGpp (guanosine-penta/Napabucasin supplier tetra-phosphate), a signaling compound that is a key player of a cellular response to amino acid starvation known as stringent response. Results and Discussion

Our rationale here is that we can get insights into the biological role of YgjD by following the cellular response of its depletion on the single cell level and with high temporal Epigenetics inhibitor resolution. We diluted cultures of the conditional lethal P ara -ygjD mutant TB80 onto pads of solid LB medium that either contained L-arabinose (inducing ygjD expression) or D-glucose (repressing

ygjD expression) and used time-lapse microscopy to follow single cells growing into microcolonies, taking an image every 2 or 4 minutes. The images were analyzed with the software “”Schnitzcell”" [18]. The growth rate and cellular morphology of the P ara -ygjD strain grown in the presence of L-arabinose was similar to the wild type grown under the same conditions (Figure 1a and 1c, and Additional file 1 – movie 1 and Additional file 2 – movie 2). Figure 1 ygjD -expression determines patterns selleckchem of growth. Each panel depicts data of cell numbers versus time from three independent experiments; each experiment is based on a microcolony that was initiated with a single cell, and followed over about six Methocarbamol to seven divisions. A) TB80 (Para-ygjD) grown in presence of 0.1% L-arabinose. B). TB80 (Para-ygjD) grown in presence of 0.4% glucose. Note that the growth rate decreased after about

150 minutes. C) MG1655 (E. coli wild type) grown in LB medium with additional 0.4% glucose. Growth rates are similar to panel A, indicating that the induction of ygjD-expression in TB80 (panel A) lead to growth rates that are similar to wild type E. coli. A shift of the P ara -ygjD strain to glucose lead to the depletion of YgjD. This depletion is based on two effects. First, transcription of ygjD stops after the shift to glucose. Residual L-arabinose that remains in the cells from growth under permissive conditions is rapidly metabolized. Lack of L-arabinose turns the transcriptional activator (AraC) of the Para promoter into a transcription repressor. In addition, glucose metabolism causes depletion of the cellular co-inducer cyclic AMP. Together these effects lead to effective repression of ygjD transcription in TB80. After termination of de novo ygjD mRNA synthesis the amount of YgjD in each cell declines, because the mRNA and the protein are diluted through cell division, and degraded by cellular nucleases and proteases, respectively [20].

Thus, therapists reinforce families’ conviction that common conve

Thus, therapists reinforce families’ conviction that common conversations about the most painful issues are not only possible but also very helpful. Organization In 1998, the increasing interest in family Cilengitide therapy was reflected in the formation of the Family Therapy Scientific Section (FTSS) within the Polish Psychiatric Association (PPA). Its founders were members of the Psychotherapy Scientific Section of PPA who believed that the rapidly developing field of family EX 527 solubility dmso therapy should have its own representation. The first president of the section was Professor Maria Orwid. The decision not to establish a separate Family Therapy Society was based on political grounds. As mentioned above, psychotherapy

has been closely connected to psychiatry in Poland. It seemed beneficial to remain within the structure of the large association as numerous changes occurred: changes in the Polish National Health Service that had been occurring since 1999, the introduction of a new reimbursement system for medical treatment costs, and the changing regulations on the

psychotherapeutic practices of psychologists. This decision led to a number of positive outcomes. First, the section cooperates very closely with the Psychotherapeutic Section of the Polish Psychiatric Association, one of the largest selleck kinase inhibitor Polish psychotherapeutic associations, which has introduced standards for psychotherapeutic training in Poland, criteria for assessing training programs for psychotherapists and psychotherapy supervisors, and regulations for conducting the examination that align with the directives of the European Association for Psychotherapy. Because of this cooperation, all decisions related to the issues discussed above are made during joint meetings of the managing boards of the two sections. This activity is extremely important because there is currently a regulation on the professions of psychology and psychotherapy being developed in the Ministry of Health.Polish law does not regulate many

issues related to psychotherapy, and therefore, the procedures introduced by the two sections have almost been used as the basis for regulations concerning psychotherapy and family therapy for many years. Moreover, both boards cooperate closely with the Psychotherapy Section of the Polish Psychological Association to unify the standards and curricula for psychotherapeutic trainings and courses. The FTSS is a national organization that represents family therapists in the National Family Therapy Organizations of the European Family Therapy Association (NFTO EFTA). Today, FTSS has 356 members and holds annual national conferences devoted to selected issues.2 Moreover, there is another association for family therapists in Poland: the Wielkopolskie Systemic Therapy Association. It closely cooperates with family therapists from Heidelberg and organizes training in family therapy.

Östman and Augsten, Curr Opin Genet Dev 2009 19: 67–73 Augsten

Östman and Augsten, Curr Opin Genet Dev. 2009 19: 67–73. Augsten et al., Proc Natl Acad Sci U S A. 2009 106: 3414–3419 Poster No. 142 Radiation Induces Invasiveness of Pancreatic Cancer via Upregulation of Heparanase Esther Bensoussan 1 , Amichay Meirovitz1, Irit Cohen1, Immanuel Lerner1, Benito Casu2, Israel Vlodavsky3, Michael Elkin1 1 Department Of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel, 2 Ronzoni FG-4592 chemical structure Institute,

Milan, Italy, 3 Technion-Israel Institute of Technology, Haifa, Israel Pancreatic cancer is one of the most aggressive neoplasms with an extremely low survival rate. Because most pancreatic carcinoma patients miss the opportunity for complete surgical resection at the time of diagnosis, radiotherapy remains a major component of treatment EPZ004777 modalities. However, pancreatic cancer often shows resistance to radiation therapy. Ionizing radiation (IR)-induced aggressiveness is emerging as one of the important mechanisms responsible for limited benefit of radiation therapy in pancreatic cancer, but the identity of downstream effectors responsible for this effect remains poorly investigated. Here we report that IR promotes pancreatic

CRT0066101 research buy cancer aggressiveness through up-regulation of the Molecular motor heparanase. Heparanase is a predominant mammalian enzyme capable of degrading heparan sulfate (HS), the main polysaccharide component of the basement membrane and other types

of extracellular matrix (ECM). Cleavage of HS by heparanase leads to disassembly of ECM, enables cell invasion, releases HS–bound angiogenic and growth factors from the ECM depots, and generates bioactive HS fragments. We found that clinically relevant doses of IR augment invasive ability of pancreatic cells in vitro and in vivo via induction of heparanase. Our results indicate that effect of IR on heparanase expression is mediated by Egr1 transcription factor. Moreover, specific inhibitor of heparanase enzymatic activity abolished IR-induced invasiveness of pancreatic carcinoma cells in vitro, while combined treatment with IR and the heparanase inhibitor, but not IR alone, attenuated orthotopic pancreatic tumor progression in vivo. The proposed up-regulation of heparanase by IR represents a new molecular pathway through which IR may promote pancreatic tumor aggressiveness, providing explanation for the limited benefit from radiation therapy in pancreatic cancer. Our research is expected to offer a new approach to improve the efficacy of radiation therapy and better define target patient population in which such approach could be particularly beneficial. Poster No.

In the phylogenetic tree from saline

soils, OTUs from clu

In the phylogenetic tree from saline

soils, OTUs from cluster 3 (9 OTUs and 32 clones), cluster 5 (12, 32), cluster 6 (3, 13), cluster 7 (6, 15) and cluster 8 (2, 6) grouped with cbbL sequences of known cultured organisms like Rhodopseudomonas palustris, Oligotropha carboxidovorans, Nitrosospira, Rhizobium leguminosarum, Salinisphaera, Alcaligenes, Pelomonas, Paracoccus, Rhodobacter, Volasertib Agrobacterium tumefaciens, Sinorhizobium fredii and Ochrobactrum anthropi (79-88%). The cbbL sequences in the cluster 4 (8, 20) were grouped with Aurantimonas bacterium (4 OTUs), Methylocapsa acidiphila (one OTU), Bradyrhizobium japonicum (one OTU) and Azospirillum lipoferum (one OTU). Some sequences in the cluster 5 displayed sequence homology with Nitrosospira. Phylotype HS154 was distantly related with Sulfobacillus acidophilus and Mycobacterium. Cluster 1 (12, 35, 2 cultured isolates) showed a high intra cluster similarity not affiliated with any other known RuBisCO sequence and formed a monophyletic lineage with cbbL sequences of the cultured isolates (HSC14, RSC22) obtained from these soil samples. The phylotype R13 from saline soil constituted a distinct branching lineage not affiliated with any known cbbL containing cultured representative. The form IA cbbL genes were amplified only from high saline

soil (SS2). The phylogenetic analysis (Figure 1) revealed that the 8 phylotypes (28 clones) were not closely associated with known sulphide, ammonia oxidizers or other taxa and formed one separate monophyletic cluster. Furthermore, the form C646 molecular weight IA clone sequence RG42 was divergent from other form IA gene sequences. 16S rRNA clone library and phylogenetic analysis Total 329 16S rRNA gene clone sequences were retrieved from three soil samples. The RDP classifier was used to assign 16S rRNA gene sequences to the phylogenetic groups (Figure 3). Totally 227 OTUs were identified among the 329 clones nearly in the combined data set. PKC inhibitor Comparative abundance of these OTUs was illustrated by heatmap (Additional file 1: Figure S1) generated by Mothur.

A total of 147 clone sequences were analyzed from the agricultural soil (AS), which generated 109 unique OTUs that grouped within ten bacterial phyla- Proteobacteria (Alpha, Beta, Gamma, and Delta), Acidobacteria, Actinobacteria, Bacteroidetes, Chloroflexi, Cyanobacteria, Firmicutes, Gemmatimonadetes, Nitrospira and Planctomycetes. A total of 97 and 85 gene sequences were analyzed from saline soils (SS1 & SS2) which generated 55 and 63 unique OTUs respectively. These OTUs grouped into different bacterial phyla as described above except Cyanobacteria and Nitrospira. The phylogenetic trees showing the taxonomic assignment of phylotypes to different bacterial groups were constructed from the three soil clone libraries (data not shown).

8 DIC 5 5 3 Sepsis 5 5 3 ARDS 2 2 1 Acute renal failure 2 2 1 Ana

8 DIC 5 5.3 Sepsis 5 5.3 ARDS 2 2.1 Acute renal failure 2 2.1 Anastomosis leakage 2 2.1 Urinary tract infection 2 2.1

Mortality 15 16.0 Sepsis 5 5.3 Pneumonia 4 4.3 Cancer 2 2.1 Multiple organ failure 1 1.1 Intraperitoneal bleeding 1 1.1 Renal failure 1 1.1 Suffocation GS-9973 mouse 1 1.1 The most frequent complication was surgical site infection (SSI), which occurred in 21 patients (22.3%), followed by pneumonia in 12 patients (12.8%). Fifteen patients (16.0%) died within 1 month after their operation. The most common causes of death were sepsis related to pan-peritonitis in 5 patients (5.3%), and pneumonia in 4 patients (4.3%). Clinical factors affecting mortality Clinical factors that might affect the mortality of elderly

patients treated with emergency abdominal surgery were evaluated. Delay in hospital admission (more than 24 hours after onset of symptom), APACHE II score, and POSSUM score (PS, OSS) were identified as prognostic factors Dactolisib datasheet of these patients on univariate analysis (Table 3). Additionally, multivariate analysis using multiple logistic regression analysis demonstrated that delay in hospital admission (p = 0.0076) and POSSUM score (PS) (p = 0.0301) were effective prognostic factors of LOXO-101 datasheet elderly patients who underwent emergency abdominal surgery (Table 4). Table 3 Delay in hospital admission (more than 24 hours after onset of symptom), APACHE II score, and POSSUM score (PS, OSS) were identified as prognostic factors of these patients on univariate analysis   Alive (n = 79) Dead (n = 15) P Age (mean: 85.6) ≤85 Adenosine triphosphate 41 10   >85 38 5 0.2219 Gender Male 27 9   Female 52 6 0.0567 Comorbidity negative 20 3   positive 59 12 0.4715 PS(ECOG) Grade 0,1 28 2   Grade 2, 3, and 4 51 13 0.0786 Time from onset of symptoms to hospital admission (hour) <24 51 4   ≥24 28 11 0.0074** (Fisher’s exact test) APACHE II (mean) 11.9 18.5 0.0002 POSSUM PS (mean) 30.1 38.6 0.0001** OSS (mean) 13.9 17.2 0.0408* (Mann-Whitney U-test) Table

4 Multivariate analysis using multiple logistic regression analysis demonstrated that delay in hospital admission (p=0.0076) and POSSUM score (PS) (p=0.0301) were effective prognostic factors of elderly patients who underwent emergency abdominal surgery   Odds ratio 95% CI p Time from onset to hospital admission (>24 hr vs. 24 hr) 9.6039 1.8226-50.6079 0.0076** APACHE II 1.1291 0.9223-1.3822 0.2395 POSSUM PS 1.2013 1.0178-1.4178 0.0301*   OSS 1.0202 0.8468-1.2292 0.8331 Discussion As the increase of life expectancy has been observed in developed countries, especially in Japan, the number of geriatric patients with acute abdominal disease requiring emergency surgical treatment has increased in recent decades. Because physiological reserve is significantly diminished in the elderly, cardiovascular, pulmonary, endocrine, and renal comorbidities are more common in elderly patients.

Functional

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