In clinical practice, real-time interpretation is necessary to as

In clinical practice, real-time interpretation is necessary to assist decision- making during the procedure. The aim of this pilot study was to compare the accuracy of real-time pCLE diagnosis made during the procedure with that of blinded offline interpretation to provide accuracy BEZ235 manufacturer estimates that will aid the planning of future studies.\n\nPatients and methods: pCLE was performed in patients undergoing screening and surveillance colonoscopy. Once

a polyp had been identified, one endoscopist analyzed pCLE images during the procedure and made a provisional “real-time” diagnosis. Saved video recordings were de-identified, randomized, and reviewed “offline” 1 month later by the same endoscopist, who was blinded to the original diagnoses.\n\nResults: Images from a total of 154 polyps were recorded (80 neoplastic, 74 non-neoplastic). The overall accuracy of real-time pCLE diagnosis (accuracy 79%, sensitivity 81%, specificity 76%) and offline pCLE diagnosis

(83%, 88%, and 77%, respectively) for all 154 polyps were similar. Among polyps < 10mm in size, the accuracy of real-time interpretation was significantly lower (accuracy 78%, sensitivity 71%, specificity 83%) than that of offline pCLE interpretation (81%, 86%, 78%, respectively). For polyps >= 10mm, the accuracy of pCLE diagnosis in real-time was better (accuracy 85%, sensitivity 90%, specificity 75%) than offline pCLE buy LY2835219 diagnosis (81%, 97%, and 50%, respectively).\n\nConclusions: These results suggest that real-time and offline interpretations of pCLE images are moderately accurate. Real-time interpretation is slightly less

accurate than offline diagnosis, but overall both are comparable. Additionally, there was contrasting accuracy between the two methods for small and large polyps.”
“In schizophrenia there is a consistent Blebbistatin chemical structure epidemiological finding of a birth excess in winter and spring. Season of birth is thought to act as a proxy indicator for harmful environmental factors during foetal maturation. There is evidence that prenatal exposure to harmful environmental factors may trigger pathologic processes in the neurodevelopment, which subsequently increase the risk of schizophrenia. Since brain white matter alterations have repeatedly been found in schizophrenia, the objective of this study was to investigate whether white matter integrity was related to the season of birth in patients with schizophrenia. Thirty-four patients with schizophrenia and 33 healthy controls underwent diffusion tensor imaging. Differences in the fractional anisotropy maps of schizophrenia patients and healthy controls born in different seasons were analysed with tract-based spatial statistics. A significant main effect of season of birth and an interaction of group and season of birth showed that patients born in summer had significantly lower fractional anisotropy in widespread white matter regions than those born in the remainder of the year.

Increasing cell survival and promoting implant vascularisation ar

Increasing cell survival and promoting implant vascularisation are major challenges. Improved expertise with culturing techniques, together with the incorporation of regulatory requirements, will open the way to high-quality clinical trials investigating the usefulness of cell therapy as a method for achieving bone repair. Cell therapy avoids the drawbacks of autologous bone grafting, preserving the bone stock and diminishing treatment invasiveness. (C) 2013 Published

by Elsevier Masson SAS.”
“P>1. In woodland herbs, the probability of flowering and costs associated with reproduction may strongly depend on environmental context (shade vs. light habitats) and on plant size. This may be particularly true for tuberous orchids that inhabit woodlands, as the amount of incoming radiation and total leaf area strongly determine photosynthetic capacity Microbiology inhibitor and

hence the amount of carbohydrates that can be relocated to below-ground storage organs that form next year’s rosette and flowering stalk.\n\n2. To fully comprehend the impact PXD101 research buy of size-dependent reproduction on population dynamics under varying light conditions, life cycle models should therefore include plant size in a continuous manner. In this study, annual changes in plant size and demographic behaviour of the tuberous perennial orchid Orchis purpurea were monitored during seven consecutive years (2003-2009) in open and shaded

woodland. Integral projection models (IPMs) and life table response experiments (LTRE) were used to investigate the extent to which variation in plant size affected the overall population dynamics of this species and to decompose differences in population growth rates between populations of open and shaded woodland into contributions from growth, survival and reproduction.\n\n3. Both plants in shaded and light environments needed to be a certain size to initiate flowering, but this threshold size was almost three times as large in shaded environments as in light environments. Plants in open woodlands flowered more frequently over the years, Staurosporine cost showed less size regression after flowering and produced significantly more fruits than plants in shaded environments, resulting in significantly larger population growth rates.\n\n4. Our life cycle models revealed that costs of reproduction, measured at the population-level, were small in the light environment, and more than buffered by the increase in survival of flowering plants compared to non-flowering plants. In the shade environment, however, the costs of reproduction were significant and made the difference between a stable (current) and a growing (without reproduction costs) population.\n\n5. Synthesis. Light penetration to the soil is a key variable determining population dynamics of woodland orchids.

Our results showed a significant differentiation between samples

Our results showed a significant differentiation between samples collected during the two blooms from consecutive years. Also, an

increase of gene diversity and a loss of differentiation among sampling dates were observed over time within a single bloom. The latter observations may reflect the continuous germination of cysts from the sediment. The life cycle characteristics of G. semen, particularly reproduction and recruitment, most likely explain a high proportion of the observed variation. This study highlights the importance of the life cycle for the intraspecific genetic diversity of microbial species, which alternates between sexual and asexual reproduction.”
“Background: Attention-deficit/hyperactivity disorder (ADHD) is a developmental disorder characterised by symptoms of inattention, selleck screening library impulsivity and hyperactivity. The spontaneously hypertensive rat (SHR) is a well-characterised model of this disorder and has been shown to exhibit dopamine dysregulation,

one of the hypothesised causes of ADHD. Since stress experienced in the early PD-1/PD-L1 inhibitor stages of life can have long-lasting effects on behaviour, it was considered that early life stress may alter development of the dopaminergic system and thereby contribute to the behavioural characteristics of SHR. It was hypothesized that maternal separation would alter dopamine regulation by the transporter (DAT) in ways that distinguish SHR from control rat strains.\n\nMethods: SHR and control Wistar-Kyoto (WKY) rats were subjected to maternal separation for 3 hours per day from postnatal

day 2 to 14. Rats were tested for separation-induced anxiety-like behaviour followed by in vivo chronoamperometry to determine whether changes had occurred in striatal clearance of dopamine by DAT. The rate of disappearance of ejected dopamine was used as a measure of DAT function.\n\nResults: Consistent with a model for ADHD, SHR AZD6094 research buy were more active than WKY in the open field. SHR entered the inner zone more frequently and covered a significantly greater distance than WKY. Maternal separation increased the time that WKY spent in the closed arms and latency to enter the open arms of the elevated plus maze, consistent with other rat strains. Of note is that, maternal separation failed to produce anxiety-like behaviour in SHR. Analysis of the chronoamperometric data revealed that there was no difference in DAT function in the striatum of non-separated SHR and WKY. Maternal separation decreased the rate of dopamine clearance (k(-1)) in SHR striatum. Consistent with this observation, the dopamine clearance time (T100) was increased in SHR. These results suggest that the chronic mild stress of maternal separation impaired the function of striatal DAT in SHR.\n\nConclusions: The present findings suggest that maternal separation failed to alter the behaviour of SHR in the open field and elevated plus maze.

Though AL amyloidosis caused by plasma cell dyscrasia usually res

Though AL amyloidosis caused by plasma cell dyscrasia usually responses poorly to chemotherapy, this patient

exhibited a satisfactory clinical outcome due to successful inhibition of the production of amylodogenic light chains by combined chemotherapy.”
“YU205, a bacteriolytic enzyme produced by Bacillus subtilis YU-1432 exhibited lytic activity against Porphyromonas gingivalis causing periodontal disease. selleck compound Specific activity and purification yield of YU205 were increased by 522.0 times and 21.9%, respectively by 80% acetone precipitation, followed by DEAE-Sepharose and CM-Sepharose column chromatography. The molecular mass of YU205 was estimated to be 29.0 kDa by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and N-terminal selleck products sequencing identified fifteen amino acid residues, AQSVPYGISQIKAPA. YU205 was stabilized against thermal inactivation at 1 mM of CaCl(2). The essential amino acids for the lytic activity were deduced to be tyrosine, methionine, and serine. YU205 showed at least 23.4 times higher substrate specificity to P gingivalis than other proteolytic enzymes tested. These results suggest that the purified enzyme may have potential for the application to food or dental care products to prevent periodontal diseases.”
“Among the existing hashing methods, the Self-taught hashing (STH) is regarded as

the state-of-the-art work. However, it still suffers the problem of semantic loss, which mainly comes from the fact that the original optimization objective of in-sample data is NP-hard and therefore is compromised into the combination of Laplacian Eigenmaps (LE) and binarization. Obviously, the shape associated with the embedding of LE is

quite dissimilar to that of binary code. As a result, binarization of the LE embedding readily leads to significant semantic loss. To overcome this drawback, we combine the constrained nonnegative sparse coding and the Support Vector Machine (SVM) to propose a new hashing method, VX-770 datasheet called nonnegative sparse coding induced hashing (NSCIH). Here, nonnegative sparse coding is exploited for seeking a better intermediate representation, which can make sure that the binarization can be smoothly conducted. In addition, we build an image copy detection scheme based on the proposed hashing methods. The extensive experiments show that the NSCIH is superior to the state-of-the-art hashing methods. At the same time, this copy detection scheme can be used for performing copy detection over very large image database. (C) 2012 Elsevier B.V. All rights reserved.”
“Deep sequencing has become a popular tool for novel miRNA detection but its data must be viewed carefully as the state of the field is still undeveloped. Using three different programs, miRDeep (v1, 2), miRanalyzer and DSAP, we have analyzed seven data sets (six biological and one simulated) to provide a critical evaluation of the programs performance.


“The adhesive contact between a sphere and a longitudinal


“The adhesive contact between a sphere and a longitudinal wavy surface is simulated numerically. A modified simulation method is proposed using the Newton BI-CGSTAB method in a rectangular coordinate. The effective Tabor

parameter is proposed. It is found that when the amplitude of the wavy surface is larger, JNK-IN-8 order the contact area is smaller and the pull-off force is smaller. Jump-in from noncontact phenomena occurs when the Tabor parameter is large. Jumping from one ridge to the next ridge occurs when the effect of the Tabor parameter is large and the amplitude of the wavy surface is not too small. Jumping from noncontact to full contact is affected by the amplitude and the wave number of the wavy surface and is also affected by the Tabor parameter.”
“OBJECTIVE. The Centers for Disease Control and Prevention reported more than one million people with HIV infection in the United States in 2006, Selleckchem MK-2206 an increase of 11% over 3 years. Worldwide, nearly 34 million people are infected with HIV. Pulmonary disease accounts for 30-40% of acute hospitalizations of HIV-seropositive patients, underscoring the importance of understanding the range of cardiothoracic imaging findings associated with HIV infection. This article

will cover extrapulmonary thoracic diseases, chronic lung diseases, and immune reconstitution inflammatory syndrome in HIV-infected patients. Our approach is focused on the radiologist’s perspective by recognizing

and categorizing key imaging findings to generate a differential diagnosis. selleck chemical The differential diagnosis can be further refined by incorporating clinical data, such as patient demographics, CD4 count, and presenting symptoms. In addition, with prolonged survival of HIV-infected patients in the era of highly active antiretroviral therapy, radiologists can also benefit from awareness of imaging features of a myriad of chronic cardiopulmonary diseases in this patient population. Finally, the change of imaging findings and clinical status in response to treatment provides important diagnostic information, such as in immune reconstitution syndrome.\n\nCONCLUSION. Developing a practical approach to key cardiothoracic imaging findings in HIV-infected patients will aid the radiologist in generating a clinically relevant differential diagnosis and interpretation, thereby improving patient care.”
“Background: Cardiac magnetic resonance tomography (CMR) is a new imaging technique capable of imaging the aortic valve with high resolution. We assessed the aortic valve area (AVA) in patients with aortic stenosis (AS) using CMR and compared the results to those obtained by transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE).

Methods: The anxiolytic activity was evaluated with the adult mic

Methods: The anxiolytic activity was evaluated with the adult mice by hole board test, and the light-dark

box test, and motor coordination with the rota rod test. The efficacy of the plant extract (100-400 mg/kg) was compared with the standard anxiolytic drug diazepam (1 mg/kg i.p.) Results: The extract increased the time spent in the brightly-lit chamber of the light/dark box, as well as in the number of times the animal crossed from one compartment to the other. Performance on the rota rod was unaffected. In the hole BIBF 1120 cost board test, the extract significantly increased both head-dip counts and head-dip duration. Urtica urens, in contrast to diazepam, had no effect on locomotion. Conclusions: These results provides support for anxiolytic activity selleck inhibitor of Urtica urens, in line with its medicinal traditional use, and may also suggest a better side-effect profile of Urtica urens relative to diazepam.”
“The aim of the study is to investigate transient receptor potential ankyrin 1 (TRPA1)-induced responses in the vasculature and on blood pressure and heart rate (HR), in response to TRPA1 agonists using wild-type (WT) and TRPA1 knockout (KO) mice.\n\nTRPA1 agonists allyl isothiocyanate and

cinnamaldehyde (CA) significantly increased blood flow in the skin of anaesthetized WT, but not in TRPA1 KO mice. CA also induced TRPA1-dependent relaxation of mesenteric arteries. Intravenously injected CA induced a transient hypotensive response accompanied by decreased HR that was, depending on genotype and dose, followed by a more sustained dose-dependent pressor response (10-320 P005091 clinical trial mu mol/kg). CA (80 mu mol/kg)

induced a depressor response that was significantly less in TRPA1 KO mice, with minimal pressor effects. The pressor response of a higher CA dose (320 mu mol/kg) was observed in WT but not in TRPA1 KO mice, indicating involvement of TRPA1. Experiments using TRP vanilloid 1 (TRPV1) KO and calcitonin gene-related peptide (CGRP) KO mice provided little evidence for the involvement of TRPV1 or CGRP, nor did blocking substance P receptors affect responses. However, the cholinergic antagonist atropine sulphate (5 mg/kg) significantly inhibited the depressor response and slowed HR with CA (80 mu mol/kg), but had no effect on pressor responses. The pressor response remained unaffected, even in the presence of the ganglion blocker hexamethonium bromide (1 mg/kg). The alpha-adrenergic blocker prazosin hydrochloride (1 mg/kg) significantly inhibited both components, but not slowed HR.\n\nTRPA1 is involved in mediating vasodilation. TRPA1 can also influence changes in blood pressure of possible relevance to autonomic system reflexes and potentially to vasovagal/neurocardiogenic syncope disorders.”
“Ants of the tribe Attini are characterized by their obligate cultivation of symbiotic fungi.

3; P< 0 001) The height was 167 1 cm in women with hemochroma

3; P< 0.001). The height was 167.1 cm in women with hemochromatosis

versus 163.8 cm in controls. To avoid a bias related to an increased proportion of patients of Northern European origin in our hemochromatosis cohort, the data were validated with a reference population from Ireland, the country with the highest prevalence of the C282Y mutation in Europe. The deviation in height from the reference population remained stable over time and did not correlate with the type of HFE mutation, body- mass index, serum ferritin level, liver enzyme elevation, liver fibrosis, or clinical manifestations such as arthropathy or hypogonadism. The fundamental nonhematologic role of iron on metabolism has been shown in experimental models4 and in clinical studies5 ( see the Supplementary Appendix, available with the full text of this letter at NEJM. org). On the click here basis of our clinical observations, we speculate that patients with HFE hemochromatosis may benefit in their first two decades from constantly enhanced iron absorption, providing a steadily sufficient supply of iron during physical development.”
“The sense of smell in A-1210477 nmr fish is thought to be important for behaviors associated with alarm scent recognition and predator avoidance. Olfactory function of juvenile chinook salmon was evaluated in two separate experiments following 2-h immersion exposures to 0, 1, 10, or 100 mu g diazinon/L. In the first test system.

groups of 10 salmon were transferred to the prechoice zone of a Y-maze fluviarium with parallel streams of water. A dilute alarm scent composed of either chinook skin extract or L-serine was pumped into the water supply of one arm. Fish were allowed to choose either upstream arm by raising a containment screen for 10 min, then their positions were photographed and the screen lowered. In the second test system the relationship of diazinon exposure to predation susceptibility was directly examined by transferring groups of

20 salmon (10 diazinon-exposed, 10 control) to troughs containing AL3818 a protective cover. These salmon were given two olfactory warnings by delivering conspecific skin extract to both their transfer container and the predation tank they entered. After a 2-min prey acclimation period, larger predator rainbow trout were allowed access to the downstream section of the tank containing the test salmon. The combined fish were observed until approximately 50% of the prey fish had been consumed. Statistical comparisons indicated that although the salmon did avoid the water streams containing alarm scents. none of the diazinon exposure levels resulted in significantly different outcomes from the controls (alpha = 0.05) in either the two-choice maze study or the predation study. Possible environmental and population implications are discussed in light of related olfaction and diazinon studies. Environ. Toxicol. Chem. 2010:29:1113-1122.

Structural changes induced by fire indicate that logging may not

Structural changes induced by fire indicate that logging may not be possible in the area. The development of forestry practices for post-fire management is needed for the burned areas. An increase in fire frequency is expected in the area, therefore this would cause the modification in the structure of the Prosopis flexuosa population. Furthermore, this will lead to the conversion from woodland to shrubland, and the loss of its capacity for natural recovery. (C) 2014 Elsevier Ltd. All rights reserved.”
“Physicians’ work schedules are an important determinant of their own wellbeing and that of their

patients. This study considers whether allowing physicians control over their work hours ameliorates the effects of demanding work schedules. A questionnaire was completed by hospital physicians JIB-04 chemical structure regarding their work hours (exposure to long shifts, short inter-shift intervals, weekend duties, night duties, unpaid overtime; and work time control), sleep (quantity and disturbance) and wellbeing (burnout, stress and fatigue). Work time control moderated the negative impact that frequent night working had upon sleep quantity and sleep disturbance. For participants who never worked long shifts, work time control was associated with fewer short sleeps, but this was not the case for those who PP2 cost did work long shifts. Optimizing the balance between schedule flexibility and patient

needs could enhance physicians’ sleep when working the selleck kinase inhibitor night shift, thereby reducing their levels of fatigue and enhancing patient care. (c) 2014 Elsevier Ltd and The Ergonomics Society. All

rights reserved.”
“IL-10-differentiated dendritic cells (DC10) induce allergen tolerance in asthmatic mice, during which their lung Th2 effector T cells (Teffs) are displaced by activated CD4(+)CD25(hi)Foxp3(+) T cells. Intestinal DCs promote oral tolerance by inducing Ag-naive T cells to differentiate into CD4(+)CD25(+)Foxp3(+) regulatory T cells (Tregs), but whether DCs can induce Teffs to differentiate into Tregs remains uncertain. In this study, we addressed this question in OVA-asthmatic mice that were treated with DC10. OVA-presenting DC10 treatment maximally activated lung Tregs in these animals at 3 wk posttreatment, as determined by upregulation of activation markers (ICOS, programmed cell death-1, glucocorticoid-induced TNFR-related protein, LAG3, and CTLA-4) and in functional assays. This in vitro regulatory activity was >= 90% reduced by treatment with anti-IL-10 but not anti-TGF-beta Abs. In parallel cultures, OVA-but not house dust mite (HDM)-presenting DC10 induced approximate to 43% of CFSE-labeled CD25(-/lo)Foxp3(-) Teffs from asthmatic OVA-TCR transgenic mice to differentiate into tolerogenic CD25(hi)Foxp3(+) Tregs. We recapitulated this in vivo using OVA-asthmatic mice that were coinjected with OVA- or HDM-presenting DC10 (i.p.) and CFSE-labeled CD4(+)CD25(-/lo)Foxp3(-) Teffs (i.v.) from the lungs of asthmatic DO11.

This compared with 158 patients in the 20-hour infusion group, in

This compared with 158 patients in the 20-hour infusion group, in which the mean volume deficit was (+/-)45 mL/d (P < .001). Enteral nutrition was most often held for extubation or procedures. A higher level of overfeeding was noted in the 20-hour infusion group. Conclusion: Calculating and prescribing higher EN infusion rates, assuming 20 hours of actual infusion daily, promoted delivery

of optimal nutrient provisions and avoidance of unintended Ruboxistaurin manufacturer malnutrition by significantly reducing caloric deficit from frequent EN holding. (Nutr Clin Pract. 2010;25:653-657)”
“To produce beneficial phenolic acids for medical and commercial purposes, researchers are interested in improving the normally low levels of salvianolic acid B (Sal B) produced by Salvia miltiorrhiza. Here, we present a strategy of combinational genetic manipulation to enrich the precursors available for Sal B biosynthesis. This approach, involving the lignin pathway, requires simultaneous, Belinostat solubility dmso ectopic expression of an Arabidopsis Production of Anthocyanin Pigment 1 transcription factor (AtPAP1) plus co-suppression of two endogenous, key

enzyme genes: cinnamoyl-CoA reductase (SmCCR) and calleic acid O-methyltransferase (SmCOMT). Compared with the untransformed control, we achieved a greater accumulation of Sal B (up to 3-fold higher) along with a reduced lignin concentration. This high-Sal

B phenotype was stable in roots during vegetative growth and was closely correlated with increased antioxidant capacity for the corresponding plant extracts. Although no outward change in phenotype was apparent, we characterized the molecular phenotype through integrated analysis of transcriptome and metabolome profiling. Our results demonstrated the far-reaching consequences of phenolic pathway perturbations on carbohydrate metabolism, respiration, photo-respiration, SCH727965 order and stress responses. This report is the first to describe the production of valuable end products through combinational genetic manipulation in S. miltiorrhiza plants. Our strategy will be effective in efforts to metabolically engineer multi-branch pathway(s), such as the phenylpropanoid pathway, in economically significant medicinal plants. (C) 2013 International Metabolic Engineering Society. Published by Elsevier Inc. All rights reserved,”
“Recent work has shed light on the abundance and diversity of d-amino acids in bacterial extracellular/periplasmic molecules, bacterial cell culture, and bacteria-rich environments. Within the extracellular/periplasmic space, d-amino acids are necessary components of peptidoglycan, and disruption of their synthesis leads to cell death. As such, enzymes responsible for d-amino acid synthesis are promising targets for antibacterial compounds.

One is to detect coherent and uncertain components from NN output

One is to detect coherent and uncertain components from NN outputs by using multiple mixture data, then removing the uncertain portion to enhance selleck chemicals llc signals. The other is to find better estimation of mixing matrix by leveraging reliable source peak structures in NN output. Numerical results on examples including NMR spectra of a C-13-1-acetylated carbohydrate with overlapping proton spin multiplets show satisfactory performance of the postprocessed sparse BSS and offer promise to resolve complex spectra without using multidimensional NMR methods. Published by Elsevier B.V.”
“Applications of biosolids

to grassland areas might alter the attractiveness of those habitats to wildlife. For the past 21 yr, biosolids have been applied annually to grasslands at Marine Corps Air Station (MCAS) Cherry Point, Havelock, North Carolina. During 2003-2005, we conducted a study to determine if the long-term application of biosolids has altered plant communities and/or wildlife use of grassland areas. Ten circular 1.7-ha plots were established: five plots served as controls (untreated) and five plots were located in areas that received biosolids. We monitored vegetation growth, measured plant community

composition, and observed all plots for wildlife activity during December 2003 through December learn more 2005. Long-term application of biosolids to grasslands at MCAS Cherry Point has altered the botanical structure and composition of those areas. Plant communities in grassland areas receiving biosolids were taller (P < Stem Cell Compound Library cell assay 0.001), denser (P < 0.001), and less diverse (P < 0.001) than control areas that did

not receive biosolids. Biosolids study plots were dominated by tall fescue (Lolium arundinaceum [Schreb.] S.J. Darbyshire), whereas control plots consisted of a diversity of grasses, forbs, and woody plants. We observed more (P < 0.001.) total birds . 3-min survey(-1) using biosolids treatment plots (6.7 +/- 0.5 birds; (x) over bar +/- SE) than birds using control (2.6 +/- 0.2 birds) plots. Species-specific differences in use of biosolids and control grasslands did occur and was often related to season. We observed no differences in white-tailed deer (Odocoileus virginianus) use of biosolids and control areas when examining information from two types of deer surveys. Long-term biosolids application to cool-season grasslands alters plant communities and favors use of those areas by some grassland birds.”
“Observational data suggest a link between menaquinone (MK, vitamin K2) intake and cardiovascular (CV) health. However, MK intervention trials with vascular endpoints are lacking. We investigated long-term effects of MK-7 (180 mu g MenaQ7/day) supplementation on arterial stiffness in a double-blind, placebo-controlled trial. Healthy postmenopausal women (n=244) received either placebo (n=124) or MK-7 (n=120) for three years.