So ist z  B Wildtyp-HTT wichtig für den Eisenmetabolismus und di

So ist z. B. Wildtyp-HTT wichtig für den Eisenmetabolismus und die Produktion von Energie durch Oxidation, wie sich anhand der Abnahme an Hämoglobin und der veränderten Endozytose von Eisen bei Htt-defizienten Zebrafischen zeigen ließ [147]. In der Tat sind bei post mortem gewonnenen Gehirngewebeproben this website von HK-Patienten sowie bei HK-Tiermodellen der Fe- und Cu-Gehalt im Corpus striatum erhöht [148] and [149]. Darüber hinaus zeigen sich in Gehirnen von HK-Patienten post mortem Veränderungen bei der Aktivität Mn-abhängiger Enzyme [3]. Des Weiteren wurde an Tiermodellen eine Zunahme des Ferritins, eines intrazellulären Eisenspeicherproteins,

in der Mikroglia gezeigt [150]. Selleck STA-9090 Interessanterweise haben Fox und Kollegen berichtet, dass das Wildtyp-Htt-Protein mit Cu interagiert, wodurch die Löslichkeit des Proteins herabgesetzt wird [151]. Schließlich ist die Bildung von Einschlusskörperchen infolge expandierter CAG-Repeats in mutierten Htt-Proteinfragmenten möglicherweise mit eisenabhängigen oxidativen Ereignissen assoziiert [152]. Alle diese Untersuchungen deuten stark darauf hin, dass Wildtyp-Htt für die Metallhomöostase im Gehirn erforderlich

ist. Der klinische Verlauf der HK ist mit erhöhten Fe- und Cu-Spiegeln im Corpus striatum verbunden [148] and [149]. In post mortem untersuchten Gehirnen von HK-Patienten und bei giftstoff-induzierten Tiermodellen für HK sind Änderungen hinsichtlich verschiedener Mn-abhängiger

Enzyme, darunter Arginase, Glutaminsynthetase, Pyruvatdecarboxylase und Mn-Superoxiddismutase 2 (SOD2), beobachtet worden [3], [22], [153], [154], [155] and [156]. Auch zeigten anhand von Tiermodellen erhaltene Daten einen for signifikanten Anstieg des Ferritins (eines intrazellulären Eisenspeicherproteins) in Mikroglia [150]. Interessanterweise haben Fox et al. kürzlich berichtet, dass das Htt-Protein mit Cu interagiert, wodurch die Löslichkeit des Proteins herabsetzt wird [151]. Wie jedoch Cu oder andere Metallionen auf zellulärer Ebene auf die Funktion von Htt, seine proteolytische Prozessierung zu N-terminalen Fragmenten, die Aggregation der Fragmente und die Bildung von Einschlusskörperchen aus mutiertem Htt Einfluss nehmen, ist derzeit noch unbekannt. Schließlich zeigen jüngere Daten, dass die Bildung von Einschlusskörperchen infolge expandierter CAG-Repeats in mutierten Htt-Proteinfragmenten mit eisenabhängigen oxidativen Ereignissen assoziiert ist, was die Möglichkeit eröffnet, dass andere redox-aktive Metallionen wie Mn die Polyglutaminaggregation beeinflussen könnten [152]. Im Wesentlichen zeigen also verschiedene Studien, dass oxidativer Stress, mitochondriale Funktionsstörungen, Exzitotoxizität und Änderungen bei der Eisenhomöostase entscheidende Faktoren sowohl bei der Neurotoxizität von Mn als auch bei der Neuropathologie der HK sind.

5A The recording sites and distribution of middle, central, and

5A. The recording sites and distribution of middle, central, and lateral zones are shown in Fig. 5B. The receptive fields recorded at 100-micron steps through the penetration are shown in the matrix format in Fig. 5C. In this example, the new input completely occupied the medial and lateral zones and encroached on the medial and lateral borders of the central zone. While this arrangement was most typical, 1 of the 5 rats had responsive sites distributed throughout the middle portion of the central zone. A total of 73 electrode penetrations (mean: 9.5 per animal)

BGJ398 was used to map CN at+300 μm to the obex in seven 4- and 5-WD rats; receptive fields were examined at 549 sites (mean: 79 per animal) at selleckchem +300 μm. A representative example is shown in Fig. 6 for one 5-WD rat. While the medial zone is completely occupied with new input, few sites

were responsive to new input in the central and lateral zones. The results for the forelimb-intact controls and deafferented groups are shown in the receptive field plots in Fig. 7. The receptive fields are partitioned into body, shoulder, and head/neck subdivisions, and each receptive field is plotted onto a standardized map of CN. Inspection of the map plots shows that even in the controls, receptive fields for each body part can be found in the medial and lateral zones. In the 1-WD rats, the central zone contains a few sites on the lateral border where shoulder and head/neck receptive fields were found. In the 2-WD rats, more sites were found in the central zone, but these were confined to the lateral edge. However in the 3-WD rats, many sites were observed in the central zone that received

input from each of the body parts; the medial and lateral zones also contained new receptive fields that were distributed throughout their zones. In contrast, the 4-WD and 5-WD rats had few examples of new input in the central zone and those that were seen were relegated to the medial and lateral borders. Interestingly, new inputs in the central zone in the 6–8-WD rats were only observed at the medial and lateral border regions, while 9–12-WD tuclazepam had a few new fields in the dorsal part of the central zone. The one 26-WD rat and one 30-WD rat also had new receptive fields localized to the medial and lateral borders of the central zone. The dataset for the total area (μm2 as measured at +300 μm anterior to the obex) of the cuneate nucleus; total areas of medial, central, and lateral zones; and total area of the new input from the body, shoulder, and head into each zone for both controls and forelimb deafferented rats is presented in Table 2. Inspection of Table 2 shows the existence of a great deal of variability in body part maps among individual members within an experimental group, and the data were often skewed by one individual.

This is caused by the Phyt decrease due to mortality and Zoop gra

This is caused by the Phyt decrease due to mortality and Zoop grazing. The larger concentrations of POC calculated for successive decades are reflected by the increased primary production in 2010 as compared to the average in 1965–1998. This, of course, leads to larger DetrP and Zoop concentrations, both contributing to POC. The POC increase is even more pronounced. An interesting shift in the cycles can be noticed towards 2050: a large zooplankton peak develops in October, which leads to a rapid decrease in phytoplankton and detritus in October and November. Zoop, however, gains in importance as a component of POC, giving rise to an extended POC

concentration peak between August and early October. As a consequence, a POC concentration between 900 and 1000 mg m−3 persists between April and October with just a three-week DNA Damage inhibitor long break in July. The cycles of POC itself and POC components are different in BD (Figure 3).

For one thing POC levels are lower: primary production is lower because of the limited supply of nutrients (Renk 2000). Zooplankton thus never develops into a major component of POC, and both Phyt and DetrP concentrations decrease slowly in the autumn. This leads to a gradual decrease in POC concentration by 25% in September/October and by 20% in October/November. Yet another POC cycle characterizes the Gotland Deep. The primary productivity peak begins in April/May. There is no zooplankton that could modify Phyt and DetrP, so POC consists of Phyt and DetrP, the latter derived check details from phytoplankton. Metalloexopeptidase There is just one POC peak, occurring in June (1965–1998) and July (2050). Because of the slow growth of zooplankton in August and September (both 1965–1998 and 2050), phytoplankton and detritus levels fall slowly, leading to a gradual decrease

in POC. The varying patterns and levels of POC in the three deeps are best visualized in Figures 3 and 4, which show monthly and seasonal averages of POC. In GdD elevated POC concentrations from 400 mgC m−3 (2010) to 900 mgC m−3 (2050) in spring are evident. Moreover, the monthly averages for August and September 2050 exceed those of April and May 2050, whereas in 1965–1998 the August and September averages are lower than those for April and May by some 25%. Another difference in the pattern – the greater contribution of the zooplankton biomass to POC in August and September – is also evident (Figure 2). Zooplankton growth leads to a third effect – a rapid decrease in POC concentrations: by 50% in November 2050 but by just 20% in November 1965–1998. This difference is caused by the rapid decline in both Phyt and DetrP due to zooplankton feeding on the other two POC components. Increased temperature and light will prolong the growing season in 2050.

Advances in very small, low power, microelectronics have generate

Advances in very small, low power, microelectronics have generated a bevy of new monitoring devices that can be attached to marine animals in order to collect scientific data and transmit it remotely, often by satellite Obeticholic Acid datasheet or other wireless technologies [3]. Data collected through these techniques generally includes information on the behavior and activities of tagged animals such as diving behavior, foraging movements and migration patterns [3]. In some cases these instruments can also provide data on the surrounding ocean, such as salinity, currents and temperature, providing details on the environment the animal is swimming through [2]. Several forms of bio-logging platforms are in use, and they

can be separated out by their mode of data collection and recovery. The simplest forms of bio-logging instruments emit a radio signal that is tracked via satellite [4] or VHF antenna [5] and animal locations are estimated via triangulation/Doppler-shift techniques [6]. Advanced forms of these platforms can relay dive information as well over radio frequencies. These devices are used on a variety of

marine organisms; however, their use is restricted to animals that surface periodically or fly (e.g. marine turtles, seabirds, marine mammals and some large pelagic fishes) as radio signals are not propagated through the water. In contrast, many bio-logging platforms are archival, where data is collected (often including higher Nivolumab manufacturer resolution

location data derived from GPS systems) and stored onboard the devices and then downloaded/transmitted after the deployment finishes [6]. In some cases archival tags must be recovered (usually by tracking it with a co-located radio beacon as above) and the data downloaded manually. This can be accomplished if the platform is released from the animal at a certain time or, in the case of small animals, during a recapture period where the tag is removed during animal handling at a rookery or haulout [7]. In some cases, data can be collected over an extensive period of time and then transmitted when the tag is shed from the study animal [8], or it spends enough Oxalosuccinic acid time onshore for data to be transmitted from the tag [9]. This is especially true for platforms developed for pelagic fishes that employ light-based geo-location techniques. These tags calculate positions of animals using ambient light levels and these data are transmitted to researchers via satellite relay when the tag is shed from the animal and floats to the surface [10]. In many cases real-time tracking is not possible with many archival bio-logging platforms. The use of telemetry and bio-logging devices on all the major taxa of marine top predators, including fishes, marine reptiles, seabirds, and marine mammals, promotes novel marine scientific research without the need for expensive and conventional research cruises.

Essentially, this trend entails that theories about the cognitive

Essentially, this trend entails that theories about the cognitive Z-VAD-FMK ic50 processes under consideration are explicated in mathematical or computational form, and these formal models are used to make inferences about the neural data. The model-based approach has been successfully applied in perceptual decision neurosciences [3••]. Perceptual decision neurosciences

study the neural networks underlying simple perceptual choices. By relating these networks to properties of cognitive models, the model-based neuroscience approach has greatly increased our understanding of how the brain controls the behavioral outcome of simple choices. A prominent model that has been instrumental in the success of model-based perceptual decision neurosciences is the diffusion model of choice reaction time [4••].

Essentially, the diffusion model assumes that the difference in evidence for two response alternatives is represented by Enzalutamide ic50 a biased random walk process (Figure 1). The bias in this process is referred to as drift rate. Decisions are made as soon as the random walk hits one of two boundaries, with each boundary representing one response alternative. Because the drift is a random walk process, each boundary can in principle be reached. However, a positive drift rate means that it is more likely that the random walk will be towards the upper boundary, making the associated response more likely. The time required to reach a boundary represents the decision time, which is a function of both the drift rate and the boundary separation. That is, higher drift rates as well as boundaries that are closer together lead to lower decision times. The observed response time is then the sum

of the decision time and the time required for additional, non-decision related processes. Crucially, because of the stochastic nature of the random walk process, the diffusion model PRKD3 predicts the proportion in which each boundary is reached, and the distributions of finishing times of the process. Thus, when fit to experimental data, the diffusion model explains both the proportion of correct and erroneous responses, as well as the distribution of response times of each of these response types. Only recently, the diffusion model and related models have been applied to more complex cognitive behaviors in which control is exerted over a decision (e.g. 5, 6•, 7, 8, 9 and 10). That is, certain paradigms require that decision makers ignore an interfering irrelevant stimulus feature and focus on a task-relevant feature instead. Often, the irrelevant feature relates to a direct mapping between stimulus and response, making the task to ignore this feature difficult [11].

It is unfortunate that the majority of clinical trials that addre

It is unfortunate that the majority of clinical trials that addressed surgical (refs), radiation (refs), and systemic (ref.) therapies have not included older patients. Therefore, definitive recommendations from these studies might not apply to older patients. The best approaches to local and systemic therapies in elderly patients and the impact Target Selective Inhibitor Library of each modality of therapy on the natural history

of the disease and the quality of life require evaluation in clinical trials”. (ii) Surgical management of breast cancer in the elderly patient, Baiba J. Grube, Nora M. Hansen, Wei Ye, M.S., Temple Herlong, Armando E. Giuliano, The American Journal of Surgery 182 (2001) 359–364 The following text was reproduced: In the Introduction: Breast cancer occurs in approximately 210 women per 100,000 between

age 50 and 54, 300 per 100,000 for women over age 70, and exceeds 430 per 100,000 in women over age 80 [ref.]. As the incidence increases with age, the mortality rate from breast cancer also rises dramatically, doubling in 70-year-olds and tripling in 80-year-olds compared with 50-year-olds [ref.]”. In the Methods: Disease-specific survival curves were estimated by the Kaplan–Meier method. Log rank PLX-4720 price test was used to compare the survival between the two age groups. Disease-specific survival was defined as the period between the diagnosis of primary cancer to death from breast cancer. The t test was carried out to determine the differences in numerical variables between the age groups. The Pearson chi-square test was used to test the association between age and categorical characteristics”. In the Results: RANTES The clinical outcome for these two patient groups is shown in Table 3. The disease-specific

survival was calculated from the first tumor diagnosis in patients who had bilateral breast cancers”. In the Comments: Our data support the conclusion that our surgical approach is similar irrespective of age and the resultant outcomes are comparable for younger and older women”. “
“Hsp are primarily known as intracellular cytoprotective proteins, which are highly conserved from species to species. Under normal physiological conditions, Hsp exist at low levels, but their concentrations can increase many folds in response to a plethora of stress signals including various disease states, oxidative stress, toxic stress, and other environmental challenges (De Maio, 1995 and Minowada and Welch, 1995). Elevated levels of Hsp70 have been reported in several commonly encountered chronic disease conditions, such as autoimmunity (Deguchi and Kishimoto, 1990 and Heufelder et al., 1992), infections and parasitosis (Moseley, 1998, Polla et al., 1998, Kimura et al., 2004, Njemini et al., 2005b, Njemini et al., 2007a and Njemini et al., 2007b). For most humans, infectious and parasitic diseases are probably the most important inducers of Hsp that will be encountered in a life time.

These drugs were followed by first generation antiepileptics (FGA

These drugs were followed by first generation antiepileptics (FGAEs), such as carbamazepine and valproic acid (VPA), and later, by second generation antiepileptics (SGAEs), namely gabapentin and lamotrigine. Overdose of FGAEs has the potential of causing serious intoxication. Due to their narrow therapeutic windows, they may cause intoxications even at therapeutic doses. Acute toxicity caused by these drugs can be due to unintentional or suicidal intake, as well as to chronic use for therapy [1] and [2]. The purpose of this study was to assess the relevant epidemiological data,

to find which of the antiepileptics was the most frequent cause of intoxication, and to determine the neurological, GSK126 cost cardiac, and biochemical problems caused by antiepileptics. Another purpose of the study was to assess in particular the correlation between the levels of carbamazepine and VPA Ku-0059436 mw and the clinical picture in antileptic intoxications, and to compare the efficacies of different therapeutic approaches. In the Toxicology Unit of our Emergency Department, patients presenting with unintentional or suicidal poisoning are hospitalized and followed-up by

specialists and resident physicians of emergency medicine. This unit has intensive care beds for the follow-up of patients requiring mechanical ventilation. This retrospective study comprised 95 consecutive patients aged 18-year-old and older with antiepileptic intoxication, presenting to and being followed-up in our Toxicology Unit between January 2010 and February 2013. The data Pyruvate dehydrogenase lipoamide kinase isozyme 1 were obtained by reviewing the patient files. The patients were evaluated in terms of gender, age, the drugs they were exposed to

or took, the serum drug levels, the route and reason for taking the drugs (unintentional or suicidal), the clinical picture, the therapeutic methods applied, complications, the length of hospitalization, and mortality. In this retrospective study, the data were obtained by reviewing the patients’ files. The study included all patients between the ages of 18 and 80 with antiepileptic intoxication who had been hospitalized in the Toxicology Unit for at least 24 hours for examination and therapy. Statistical analysis was performed using SPSS v.15.0 for Windows. Both visual (histogram and probability graphs) and analytical (Kolmogorov-Smirnov and Shapiro-Wilk tests) methods were used to determine if the data was normally distributed. Descriptive variables are expressed as mean ± SD for data that is normally distributed and as median and interquartile range (IQR) for variables that are not normally distributed. Clinical and laboratory characteristics were evaluated via Mann-Whitney U test for variables without normal distribution. Patients were divided into three groups according to their level of drug. Comparison of these three groups by the Kruskal-Wallis test was used. When necessary, the Mann-Whitney U test with the Bonferroni correction was used to compare variables.

Daily IVRS measurements included worst abdominal pain (WAP), stoo

Daily IVRS measurements included worst abdominal pain (WAP), stool consistency, bowel frequency, rectal urgency, and frequency of stool incontinence. Weekly measurement included the IBS Global Symptom score on a 0−4 scale (0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe), where patients were asked “How would you rate your IBS symptoms overall over the past 7 days?” During monthly clinic visits, patients completed patient-reported outcomes questionnaires, including the IBS-Symptom Severity Score (IBS-SSS; scaled 0−500

with higher scores indicating more severe symptoms), IBS-quality of life (IBS-QOL; scaled 0−100 with higher scores indicating better quality of life), and EuroQoL-5 Dimension (EQ-5D; scaled 0−1 with lower scores indicating better quality of life) Lumacaftor in vivo and answered the question “Over the past week have you had adequate relief of your IBS symptoms?” Safety assessments included capture of adverse events, clinical laboratory results, 12-lead electrocardiograms, vital signs, and physical examinations. As an additional safety precaution, IVRS-generated notifications were sent to investigators to discontinue patients from the study for EPZ015666 price IVRS-confirmed constipation if the patients’ diary

entries indicated a lack of a bowel movement on 4 consecutive days on more than one occasion or the lack of a bowel movement on any 7 consecutive days (irrespective of whether an adverse event of constipation was reported). Additionally, the absence of diary entry on a given day was treated as the absence of a bowel movement by the IVRS; programmatic IVRS study withdrawal

notifications were generated for patients that were noncompliant with the IVRS for the same criteria as the absence of a bowel movement. Eligible patients were male or female aged 18 to 65 years who met the Rome III criteria for IBS-D,3 and who reported a mean daily WAP score of ≥3.0 (on a 0−10 numerical rating scale, where 0 indicates no pain and 10 worst pain imaginable) and mean daily stool consistency score of ≥5.5 on the Bristol Stool Scale (1 = hard, lumpy stools and 7 = watery, liquid stools) in the Telomerase week before randomization. Patients were also required to have had a colonoscopy within the past 5 years for any alarm feature, such as weight loss, nocturnal symptoms, familial history of colon cancer, or blood mixed with stool. Patients with histories of inflammatory bowel disease, celiac disease, intestinal obstruction, stricture, toxic megacolon, gastrointestinal perforation, fecal impaction, gastric banding, bariatric surgery, adhesions, ischemic colitis, impaired intestinal circulation, major vein thrombophlebitis, hypercoagulable states, major gastric, hepatic, pancreatic, or intestinal surgery, or evidence of significant hepatic or renal disease were excluded.

Our findings show that after fortification,

Our findings show that after fortification, Selleckchem ABT-263 83.6% of volunteers had an adequate dietary intake of folate in contrast to only 28.9% in the prefortification group, a fact that indicates

the beneficial effect of fortification. In the postfortification group, 98.2% and 92.7% of volunteers showed adequate plasmatic concentrations of cobalamin and folate, respectively, whereas in the prefortification group, these percentages were 72.4% and 80.6%, respectively. Similar results were found in a study of children in the United States, which showed that after fortification, the intake of cereals ready for consumption or supplements containing folic acid increased the daily intake and serum concentrations of folate and cobalamin [36]. Selhub et al [37], in a study on the US population before and after fortification, showed that Hcy levels do not generally decrease with increasing concentrations of folate among persons with low serum cobalamin. On the other hand,

an intervention study conducted with healthy male subjects showed that a system of fortification with 200 μg/d of folic acid, which can be achieved by food fortification, would be effective in reducing Hcy level [38]. We Z VAD FMK did not observe association between Hcy concentrations and the practice of physical activity; the same result was observed in another study in adults of both sexes, without any chronic illness, in Greece [39]. Observational study in humans showed an inverse correlation between the concentrations of Hcy and HDL-C, an inverse association between HDL-C and CVD, and a positive correlation between Hcy and CVD [40]. The results of the present study showed an inverse correlation, although not significant, between Hcy concentration and the concentration of HDL-C, possibly because the sample was smaller. The differences between the 2 groups in concentrations of total cholesterol, HDL-C, triglycerides, and dietary fiber suggest

greater 17-DMAG (Alvespimycin) HCl cardiovascular protection in the postfortification group, possibly due to an increased consumption of food rich in fiber. Nevertheless, it is necessary to point out some limitations of this research. The studies from which the selected women were included were not developed for this purpose and the members of the 2 groups were not the same. However, all procedures were performed with the same technique, equipment, and by the same researchers in both groups. The women from the prefortification group were much older than those from the postfortification group. The Hcy difference found in both groups could have resulted from age difference. To minimize the limitation of age difference between the 2 groups, the main study variables were adjusted by age.

7±0 3% with WT B cells, 2 2±0 2% with IL-10−/− B cells, and 2 0±0

7±0.3% with WT B cells, 2.2±0.2% with IL-10−/− B cells, and 2.0±0.3% without B cells, p<0.01).Summary: WT

but not IL-10−/− B cells ameliorate T cell-mediated colitis despite B cell induction of Foxp3+CD4+ cells being IL-10 independent. IL-10-producing B cells may contribute to intestinal homeostasis by suppressing effector T cells directly (by IL-10 secretion) and indirectly (by inducing IL-10-producing Tr-1 cells). “
“Loss of mucosal barrier integrity is postulated to be an important contributor in the pathogenesis of inflammatory bowel diseases (IBD). Barrier dysfunction can be diagnosed and quantified using in vivo confocal endomicroscopy (CEM) but the prognostic significance of this on clinical follow up is not well known. To measure intestinal barrier click here dysfunction using CEM and determine clinical course of IBD as defined by requirement for treatment escalation (TE). TE was defined as commencement of new drug therapy, dose optimization or need for surgical resection. Consecutive IBD subjects and controls were prospectively recruited for CEM (EC-3870FK, Pentax) using incremental boluses of intravenous 10% fluorescein as contrast agent. Blinded assessment of uninflamed terminal ileum was performed. ‘Fluorescein leak’, ‘cell junction enhancement’, ‘cell drop

out’ and the composite confocal Ganetespib leakage score (CLS) were calculated as measures of intestinal mucosal barrier dysfunction. Area under the curve (AUC) of receiver operator characteristic (ROC) analysis was used to define thresholds separating IBD from controls and IBD with and without TE. The primary endpoint was time (in days) to TE from date of CEM measured statistically using Dichloromethane dehalogenase Kruskal-Wallis, Log rank and Chi square analyses. A total of 43 consecutive subjects were recruited (23 CD, 6 UC, 14 controls; group-matched for age and sex) yielding

11,539 images. Prospective median follow up time was 3.6 months. Median CLS for CD, UC and controls were 18.2, 17.6 and 5.3, respectively (P=0.003). During prospective follow up, there were 11 TE for new drug class or drug optimisation (3 5-ASA, 1 steroid, 1 antibiotics, 2 anti-metabolites, 2 biological drugs, 2 clinical trial) and 1 for surgery. At the best ROC threshold of 8.8, CLS differentiated IBD from controls (AUC: 0.817, sens 81.3%, spec 85.7%; OR of IBD 26.0 [95% CI: 4.56-148.18], P=0.00002). CLS helped in predicting TE (AUC: 0.645) at a cut-off of 15.4 (sens 81.8%, spec 47.6%). Eleven of 23 CEM studies (48%) with a CLS >15 subsequently went on to have TE vs. only 1 of 9 (11%) with CLS ≤15 (P=0.083). CLS >15 was not predictive of serious TE (towards surgery or biological agents, P=0.255). Subjects with CLS in the highest tertile had higher rates of TE compared to the lowest tertile (6/11 vs. 2/10) trending towards statistical significance (OR 4.8 [95% CI: 0.68-33.80], P=0.104). Figure 1 shows the divergence of TE events according to CLS >15 or CLS ≤15 (P=0.055).