Level of Evidence: Basic Science Study (C) 2009 Journal of S

\n\nLevel of Evidence: Basic Science Study. (C) 2009 Journal of Shoulder and Elbow Surgery Board of Trustees.”
“Angadenia berteroi is a tropical perennial subshrub with large yellow flowers that sets very few fruits in its native pine rockland habitat. To learn more about the breeding system of this rare species, we collected seeds from two populations and grew plants for greenhouse study. The flowers open before sunrise. They have a complex floral arrangement (the anthers form a conical structure surrounding the stigma, which has a secondary

pollen presentation) that promotes outcrossing from visits by long-tongued pollinators. Hand-pollinations show that A. berteroi is mostly self-incompatible, with greatest fruit set, fruit length, and seedling emergence resulting from crosses between unrelated individuals. Stattic The low fruit set observed in natural populations

may be due to low visitation by pollinators, matings between closely related individuals, or both.”
“Objectives: To examine body composition, including the relationship between body mass index (BMI) and total body fat, in women and men with complete motor paraplegia and to make comparisons with able-bodied controls. Methods: In 13 subjects with traumatic, complete motor paraplegia Galardin cost (six women, seven men) and 39 sex-, age-, and BMI-matched controls from the community (18 women, 21 men), we measured total and regional (upper extremities, trunk, and lower extremities) lean and fat mass using total body dual-energy X-ray absorptiometry. Results: Both women and men with paraplegia had significantly lower lean mass in their lower extremities, as would be expected, and in their total body when compared with controls. However, they had significantly greater lean mass in their upper extremities than controls (4.4 kg vs. 3.6 kg, P = 0.004 and 8.6 kg vs. 6.7 kg, P smaller than 0.001 in women and men, respectively); all subjects with paraplegia studied used manual wheelchairs. Although total body fat mass was significantly greater in women (P = 0.010) and men (P = smaller than 0.001) with

paraplegia compared with controls, for the equivalent total body fat mass, BMI was actually lower in women and men with paraplegia than controls (e. g. 20.2 kg/m(2) find more vs. 25.0 kg/m(2), respectively). Conclusion: We report on body composition in persons with complete motor paraplegia, including women on whom limited information is currently available. Our results support the need to define better assessments of obesity in both women and men following spinal cord injury, particularly of central body fat distribution, as BMI underestimates adiposity in this population.”
“Most traumatic lower limb amputees ambulate using a prosthetic limb. Comfort, appearance of the missing limb and function are confirmed as being important during rehabilitation post-amputation.

In contrast, PON1 was assumed to be involved in drospirenone clea

In contrast, PON1 was assumed to be involved in drospirenone cleavage due to the high efficiency of metallohydrolase inhibitors. BAY 73-4506 research buy This indication was supported by the presence of PON1 in drospirenone-cleaving fractions as we found by affinity chromatography and Western immunoblotting for isolation and detection of PON1, respectively.\n\nThe identity of the assumed cleaving enzymes remains, however, to be further studied. The inhibitors we found can serve as a tool for stabilizing drug ester compounds in biological samples ex vivo. (C) 2009 Elsevier B.V. All rights reserved.”
“The Sfil restriction endonuclease is a tetramer in which two subunits form a dimeric unit that contains

one DNA binding cleft and the other two subunits contain a second cleft on the opposite side of the protein. Full activity requires both clefts to be filled with its recognition sequence: Sfil has low activity when bound to one site. The ability of Sfil to cleave non-cognate sites, one base pair different from the true site, was initially tested on substrates that lacked specific sites but which contained either one or multiple non-cognate sites. No cleavage of the DNA with one non-cognate site was detected, while

a small fraction of the DNA with multiple sites was nicked. The alternative sequences were, however, cleaved in both strands, albeit at low levels, when the DNA also carried either a recognition site for Sfil or the termini selleck generated by Sfil. Further tests employed a mutant of Sfil, altered at the dimer interface, which was known to be more active than wildtype Sfil when bound to a single site. This mutant similarly failed to cleave DNA with one non-cognate site, but cleaved the substrates with

multiple non-cognate sites more readily than did the native enzyme. To cleave additional sites, Sfil thus needs to interact concurrently with either two noncognate sites or one non-cognate and one cognate site (or the termini thereof), yet this arrangement 3-MA supplier is still restrained from cleaving the alternative site unless the communication pathway between the two DNA-binding clefts is disrupted. (C) 2008 Elsevier Ltd. All rights reserved.”
“This study aimed to develop a genotypic method to predict HIV-1 coreceptor usage by employing the nucleotide sequence of the env gene in a tree-augmented naive Bayes (TAN) classifier, and to evaluate its accuracy in prediction compared with other available tools.\n\nA wrapper data-mining strategy interleaved with a TAN algorithm was employed to evaluate the predictor value of every single-nucleotide position throughout the HIV-1 env gene. Based on these results, different nucleotide positions were selected to develop a TAN classifier, which was employed to predict the coreceptor tropism of all the full-length env gene sequences with information on coreceptor tropism currently available at the Los Alamos HIV Sequence Database.\n\nEmploying 26 nucleotide positions in the TAN classifier, an accuracy of 95.


“Although the important role of social support in mental h


“Although the important role of social support in mental health is acknowledged, no prospective study has yet examined the relation of social support to suicide. Here, we investigated the association between social support and suicide in a cohort of Japanese men and women. A total of 26,672 men and 29,865 women aged 40-69 years enrolled in the Japan Public Health Center-based prospective study in 1993-1994 completed a self-administered questionnaire which included

four items of social support, and were followed for death through December 2005. Hazard ratios (HRs) and 95% confidence intervals (95% Cl) of suicidal death by social support index were estimated using a Cox proportional hazards regression model. A total of 180 suicidal deaths were recorded during an average of 12 years’ follow-up. Men and women with the highest level of social support had a significantly decreased risk of suicide, with HRs IPI-145 inhibitor (95% Cl) for the highest versus lowest social support group of 0.56 (0.33-0.94) and 0.38 (0.16-0.89) in men and women, respectively. Esteem support and having four or more friends were associated with a lower risk of suicide in women [0.32 (0.13-0.77)] and in both sexes [men: 0.56 (0.36-0.88): women: 0.65 (0.32-1.30)], respectively, whereas confident support was not. These findings suggest that social support may be important for suicide prevention. ACY-738 Selleckchem MCC 950 Avoiding social

isolation may decrease the incidence of suicide in men and women, and esteem support can provide additional benefit for women. (C) 2011 Elsevier Ltd. All rights reserved.”
“Exacerbation of psychotic symptoms during HCV treatment with interferon alpha has been reported. We present a case with psychiatric complication after therapy with Peginterferon.”
“We investigate

the piezoelectric response of piezoelectric-rubber consisting of lead zirconate titanate (PZT) particles and silicon rubber prepared by holding it at 100 degrees C for 60 min. Two types of piezoelectric-rubber were used; one was mixed with PZT particles forming linear aggregates, and the other was mixed with PZT particles forming a random dispersion. The piezoelectric-rubber whose PZT particles were aligned normal to the rubber surface had much higher piezoelectric effect than the type of piezoelectric-rubber whose PZT particles were randomly dispersed. The reason for this is that force applied on the former is directly transmitted to PZT particles and the electric charges generated from PZT particles had higher mobility because of the aligned PZT particles, which were connected with each other. As a result, the formation of linear aggregates of PZT particles in rubber was effective in enhancing piezoelectric properties of piezoelectric-rubber. (c) 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014, 131, 39862.

9 mu M) “
“Objective To assess the prevalence of headache i

9 mu M).”
“Objective. To assess the prevalence of headache in clinic and support group patients with celiac disease CX-6258 supplier and inflammatory bowel disease (IBD) compared with a sample

of healthy controls. Background. European studies have demonstrated increased prevalence of headache of patients with celiac disease compared with controls. Methods. Subjects took a self-administered survey containing clinical, demographic, and dietary data, as well as questions about headache type and frequency. The ID-Migraine screening tool and the Headache Impact Test (HIT-6) were also used. Results. Five hundred and two subjects who met exclusion criteria were analyzed 188 with celiac disease, 111 with IBD, 25 with gluten sensitivity (GS), and 178 controls (C). Chronic headaches were reported by 30% of celiac disease, 56% of GS, 23% of IBD, and 14% of control subjects (P<.0001). On multivariate logistic regression, celiac disease (odds ratio [OR] 3.79, 95% confidence interval [CI] 1.78-8.10), GS (OR 9.53, 95%CI 3.24-28.09), and

IBD (OR 2.66, 95%CI 1.08-6.54) subjects all had significantly higher prevalence of migraine headaches compared with controls. Female sex (P=.01), depression, and anxiety (P=.0059) were independent predictors of migraine headaches, whereas age >65 was protective selleck (P=.0345). Seventy-two percent of celiac disease subjects graded their migraine as severe in impact, compared with 30% of IBD, 60% of GS, and 50% of C subjects (P=.0919). There was no correlation between years on gluten-free diet and migraine severity. Conclusions. Migraine was more prevalent selleck chemical in celiac disease and IBD subjects than in controls. Future studies should include screening migraine patients for celiac disease and assessing the effects of gluten-free diet on migraines in celiac disease.”
“Background: Intensive care patients with traumatic brain injury (TBI) are at high risk of developing deep vein thrombosis (DVT). A high rate of DVT was reported before routine thromboprophylaxis, but the current DVT rate in TBI patients receiving best-practice mechanical and pharmacological prophylaxis is unknown.\n\nObjectives: To determine the prevalence of DVT

among TBI patients.\n\nDesign, participants and setting: A prospective observational pilot study of adult patients admitted to the intensive care unit of a level 1 trauma centre within 72 hours of sustaining a TBI (Glasgow Coma Scale score <= 14).\n\nMain outcome measures: Rate of DVT determined using twice-weekly compression ultrasound; rate of pulmonary embolism (PE) and length of stay.\n\nResults: 36 patients (28 men; mean age, 40.3 years) were included. Six had moderate and 21 had severe TBI. Two patients (6%) developed a DVT and two patients (6%) developed a PE. The proximal leg DVT rate was 3%, but the overall venous thromboembolism rate was 11% (4 patients).\n\nConclusions: Mechanical and pharmacological prophylaxis appeared to be effective.

6-4 8% Its inherent chronic inflammatory component predisposes p

6-4.8%. Its inherent chronic inflammatory component predisposes patients to cardiovascular 3-MA PI3K/Akt/mTOR inhibitor and metabolic diseases. ObjectivesThis study aimed to evaluate the associations of psoriasis with comorbidities and health risk factors such as smoking and alcohol intake, and to examine demographic differences in its occurrence in a southern Brazil population. MethodsA case-control study was conducted at the Hospital de Clinicas de Porto Alegre between April 2009 and March 2011. The sample comprised 350 patients with psoriasis and 346 healthy control subjects. Data were collected using a standardized questionnaire. Tobacco load and

alcohol consumption per person were investigated. Physical examination included blood pressure, waist circumference (WC), and body mass index (BMI) calculation. Clinical evaluation investigated whether psoriasis was localized or widespread and the percentage of body surface area (BSA) affected. ResultsPsoriasis patients exhibited an increased WC (P smaller than 0.01) and BMI (P=0.01)

and higher incidences of smoking (P smaller than 0.01) and depression (P smaller than 0.01) than control subjects. A comparison of patients with involvement of smaller than 20% and bigger than 20% of BSA revealed significant differences in prevalences of hypertension (P=0.03) Quisinostat cost and diabetes (P smaller than 0.01). ConclusionsThe present study demonstrated higher incidences of depression, increased WC, overweight, obesity, and smoking in psoriasis patients compared with controls. Patients with bigger than 20% of BSA affected

were 1.69 times more likely to have hypertension and 2.9 times more likely to have diabetes. Healthcare providers should be alert to the increased cardiovascular risk and metabolic specificities of patients AZD1208 mw with psoriasis. Appropriate information on healthy lifestyle habits, including maintenance of a healthy weight and participation in physical exercise, and avoidance of alcohol and smoking are fundamental.”
“The effectiveness of alkali, acid and chlorite pretreatment of lignocellulosic feedstocks for improving the enzymatic saccharification of cellulose has been evaluated. The feedstocks such as Corncob, Prosopis juliflora and Lantana camara were pretreated with varied concentration of sulfuric acid, sodium hydroxide and sodium chlorite at 121 degrees C for 15-60 min. Among different methods used, chlorite pretreatment removed maximum lignin with similar to 90% (w/w) residual holocellulose content in all the substrates tested. Moreover, irrespective of the substrates used, the chlorite treated substrates were enzymatically saccharified from 86.4% to 92.5% (w/w). While, the alkali treated substrates containing 66.0-76.0% (w/w) holocellulose could be enzymatically saccharified up to 55% (w/w). The acid pretreated substrates were found to contain almost 54-62% (w/w) holocellulose, which on enzymatic hydrolysis could result in 39.5-48% (w/w) saccharification. (C) 2011 Elsevier Ltd. All rights reserved.

The primary end-point was the overall rate of control of chronic

The primary end-point was the overall rate of control of chronic cough. Secondary end-points

were the rate of control of chronic cough at each step of therapy, the duration of treatment required, changes in cough symptom score, health-related quality of life and possible adverse effects.\n\nResults:\n\nThe study was completed by 106 patients in the modified group and 108 patients in the primary group. The overall rate of control of chronic cough was 88.7% in the modified group and 91.7% in the primary group (chi 2 = 0.54, P > 0.05). There were no obvious differences in the rate of control of cough at each step of therapy, the duration of treatment required, patterns of cough symptom scores or improvements in the health-related quality of life between the modified and primary groups. However, the incidence of drowsiness was significantly lower in the this website modified group than in the primary group (11.7% vs 21.7%, chi 2 = 4.32, P = 0.04).\n\nConclusions:\n\nModified three-step empirical therapy was as efficacious as primary three-step therapy for chronic cough, but was preferable because it had fewer side-effects.”
“The PI3K inhibitor aim of this paper is to underline the role of Sir James Mackenzie in stating that atrial fibrillation is a distinct

and clinically important arrhythmia and that it is a common condition in patients with cardiac disease. Around 1900, a few clinical researchers were dealing with cardiac arrhythmias with the use of arterial and venous pulse tracings. Sir James Mackenzie, who has been one of the fathers of modern cardiology, introduced registration of the venous pulse at the bedside using the clinical polygraph he had invented. He applied the results of his experimental and clinical discoveries to the explanation of many kinds of arrhythmias before ECG introduction. In our paper, we have especially considered the three steps of his approach to atrial fibrillation, the first two developed in the pre-ECG era. The invention

of an instrument of precision, the electrocardiograph, revolutionized the diagnosis of heart ABT-263 chemical structure disease and catalyzed the formation of cardiology as a specialty.”
“P>In New South Wales (NSW) from 1996 to 2006, only 34-37% of newly diagnosed cancer patients were treated with radiotherapy instead of the 50% proposed by NSW Health in Radiotherapy Plans released in 1991, 1995 and 2003. As a consequence, over 50 000 cancer patients were not treated and has resulted in the estimated premature death of over 8000 patients and over 40 000 years of life lost. In 2008, there were 42 linear accelerators in NSW rather than the 62 recommended. Based on cancer incidence projections, NSW will require 69 linear accelerators in 2012 – a shortfall of 27 linear accelerators. Already 15 linear accelerators have been approved.

The characterization results showed that different compositions o

The characterization results showed that different compositions of catalysts obviously affected the surface properties of the catalysts, but the valence of the metal hardly changed

with the Mo/Sn ratios. Raman spectroscopy, XRD and XAFS were further used to characterize the structure of the catalysts. The results indicated that the catalyst composition exerted a significant influence on the structure of MoO3. The formation of oligomeric MoO3 and the appropriate coordination numbers of Mo-O at 1.94 angstrom are the main reasons XMU-MP-1 in vitro for the distinct high catalytic activity of the MoSn catalyst.”
“Drilling trials were performed using drilling boards incorporating pairs of 22 mm polyethylene tubes selleckchem mounted horizontally. The tubes were premarked with 20, 0.5 mm deep notches along the centre of their upper surface representing the starting point for each drilling trial. Volunteers were instructed to drill 20 straight holes across the tube until they penetrated both

walls. Kirschner wires were inserted through each of the drill holes until they made indentations into the base board. Deviation of each mark from mid-line was measured using digital callipers. The measured values were used to calculate deviation angles to the left (negative values) or right (positive values). Trials were performed with the drill and guide held in the surgeon’s line-of-sight (LOS) and with 300 mm offset (OFF). A systematic error (aiming bias) was identified in all individuals. Overall, left-hander’s drilling action was skewed to the left and right-hander’s drilling

action was skewed to the right. Using LOS technique, mean overall bias was 2.3 degrees (range 0 degrees-7.7 degrees) to the left for left-handers and 1.5 degrees (range 0.3 degrees-3.1 degrees) to the right for right-handers. BI 2536 mouse Surprisingly, aiming bias was greater for LOS than for OFF, although the difference for this comparison was not statistically significant.”
“Successful clinical repair of non-healing skeletal defects requires the use of bone substitutes with robust bone inductivity and excellent biomechanical stability. Thus, three-dimensionally functionalised porous calcium phosphate-Ti6Al4V (Cap-Ti) hybrids were produced by perfusion electrodeposition, and the in vitro and in vivo biological performances were evaluated using human periosteum derived cells (hPDCs). By applying various current densities at the optimised deposition conditions, CaP coatings with sub-micrometer to nano-scale porous crystalline structures and different ion dissolution kinetics were deposited on the porous Ti6Al4V scaffolds. These distinctive physicochemical properties caused a significant impact on in vitro proliferation, osteogenic differentiation, and matrix mineralisation of hPDCs.

We recorded 59 bird species in 21 families Bird species abundanc

We recorded 59 bird species in 21 families. Bird species abundance, richness and diversity indexes were significantly lower in Ligustrum-dominated relative to native forests of similar successional age, which had almost twice as many species as the former. Avian communities differed between altitudinal zones, but the difference was stronger between

Ligustrum and native-dominated forests. Avian community composition selleck products was less variable in time and space in native forests than in Ligustrum-dominated ones. Our results suggest that L lucidum invasion generates structurally homogeneous and simpler forests that represent a less suitable habitat for a diverse avifauna. This illustrates the wide ecological changes (from habitat properties and ecosystem functioning to vertebrate community composition) that the subtropical mountain forests of Argentina are experiencing with this invasion. (C) 2013 Elsevier Masson SAS. All rights reserved.”
“The effect of heterosis on callus induction, callus mass and number of regenerated plants from mature embryo cultures of winter durum

wheat (Triticum durum Selleck GDC-0994 Desf.) hybrids was studied. A total of 14 F-1 hybrids and their parents were used for mature embryo culture. The statistical analysis of the results revealed that positive heterosis in callus mass was determined in only one F-1 hybrid and in number of regenerated plants in two F-1 hybrids. Plants regenerated in vitro were successfully established in soil. Hybrid genotypes may be used to obtain callus and regenerated plants with vigour comparable to their

check details parents.”
“A novel bio-electrohydrolysis system (BEH) based on self-inducing electrogenic activity was designed as pretreatment device to enhance biohydrogen (H-2) production efficiency from food waste. Two-stage hybrid operation with hydrolysis in the initial stage and acidogenic fermentation of the resulting hydrolysate (after hydrolysis) for H2 production in the second stage was evaluated. Application of variable external resistances viz., 10 Omega, 100 Omega, 1000 Omega and closed circuit (CC) influenced the hydrolysis of substrate in BEH system and hydrogen production in acidogenic reactor compared to control. Pretreated substrate at 100 Omega documented higher H-2 production (1.05 l) than 10 Omega (0.93 l), CC (0.91 l), 1000 Omega (0.88 l) and control operation (0.68 l). Comparatively, 10 Omega documented higher substrate degradation (53.4%) followed by CC (52.42%), 100 Omega (49.51%), 1000 Omega (47.57%) and control (43.68%). Voltammetric profiles were in agreement with the observed bio-electrohydrolysis and H-2 production efficiency. (C) 2014 Elsevier Ltd. All rights reserved.”
“BackgroundBusulfan (Bu) is a DNA-alkylating agent used for myeloablative conditioning in stem cell transplantation in children and adults.

In addition, intraspecies specific sequence variations in Candida

In addition, intraspecies specific sequence variations in Candida albicans and Candida glabrata were detected. Pyrosequencing of 40 nucleotides in ITS2 is reliable for species identification of yeast. This methodology can contribute to the high quality management of patients with fungal infections.”
“Background The autoimmune thyroid disease (AITD) is an organ-specific autoimmune disease characterized by the breakdown of self-tolerance to thyroid antigens. Some lymphocytes have Dibutyryl-cAMP mouse been identified to be related notably to the pathogenesis of AITD. This article evaluated the distribution of the lymphocytic subpopulation in thyroid

glands in order to develop the immunospecific forms of therapy for AITD. Methods Damaged thyroid specimens were obtained from 18 Graves’ disease (GD) and 17 Hashimoto’s thyroiditis (HT) patients. Normal thyroid specimens were obtained from unaffected glands of 17 patients who underwent parathyroidectomy. Ruboxistaurin solubility dmso We evaluated the distribution of lymphocytic subpopulation by analyzing the expression difference and correlationship among CD4+ T lymphocyte, CD8+ T lymphocyte, CD20+ B lymphocyte as well as regulatory T cells(Tregs)’

marker FoxP3 in the thyroid tissues via immunohistochemistry. Results Our research uncovered that no distinct lymphocyte infiltrated in the normal thyroid specimens. Scarcely any lymphocyte infiltration could be found in half of the totally 18 GD thyroid specimens. For the rest 9 GD specimens, CD8+ T cells and CD20+ B cells were expressed more or less in all of them, FoxP3+ Tregs were detected in 7 of them P005091 and CD4+ T cells were weakly expressed in only 2 of them. For the 17 HT thyroid specimens, CD20+ B cells were stained strongly in all of them, CD4+, CD8+ T cells were expressed more or less in most of them

and FoxP3+ Tregs could be detected in 9 of them. Conclusion Based on CD20+ B cells predominantly infiltrating in all HT thyroid tissues we suggested CD20 antibody might be of help for HT treatment. Furthermore based on FoxP3+ Tregs abundantly infiltrating in some of the AITD thyroid specimens, we considered that activating the Tregs’ function in comparison to increasing the Tregs’ number only, may be a more effective approach to the treatment of AITD in some cases.”
“Background: Cataract surgery has been shown to improve quality of life and household economy in the short term. However, it is unclear whether these benefits are sustained over time. This study aims to assess the six year impact of cataract surgery on health related quality of life (HRQoL), daily activities and economic poverty in Bangladesh and The Philippines. Methods and Findings: This was a longitudinal study.

Each hypothesis has a specific view on insulin resistance, but th

Each hypothesis has a specific view on insulin resistance, but they also can complement each other. Combining the four hypotheses supports the view that physiological insulin resistance is indeed one of the adaptive regulation mechanisms, which has benefit for survival of the organism by restoring and maintaining the energy balance at the cellular and organism level. In principle insulin resistance seems to be a reversible physiological trait implying that there may be a specific mechanism to down-regulate insulin resistance once the energy balance is regained. The combined model also describes several ways, by which insulin resistance is

promoted during prolonged increased energy supply. A better understanding of the complex background of physiological insulin resistance and of the nature of its regulatory buy MAPK Inhibitor Library mechanisms will be valuable for the treatment of pathological insulin resistance and type 2 diabetes. The present review may be helpful for this. (C) 2007 Elsevier Inc. All Selleck BIX 01294 rights reserved.”
“Objective. Non-attendance at endoscopy procedures leads to wasted resources and increased costs. The purpose of this study was to investigate the factors associated with non-attendance. Material and methods. All patients

who attended the outpatient clinic for gastroscopy or colonoscopy examinations were included in the study. Patients who missed their appointment were identified and their data were collected prospectively. Patients who kept their appointment in the same period of time served as controls. Results. Between August 2002 and February 2003, 1051 gastroscopies and 756 colonoscopies were scheduled. A total of 265 patients (14.7%) missed their appointment. No significant differences were found between attendees and non-attendees for mean age, gender, type of examination and day of the week on which the examination was scheduled. The time on the waiting list was longer in patients who did not keep their appointment than in those who did. Fewer appointments were missed in SBE-β-CD solubility dmso patients with a preferent referral,

and among patients referred by their general practitioner a higher percentage failed to keep their appointment compared with those referred by a specialist. In the multivariate analysis, length of time on the waiting list and the source of referral were the only two independent predictive factors for non-attendance. Conclusions. A longer time on the waiting list and referral by a general practitioner are factors associated with patients failing to keep their endoscopy appointment.”
“Tumor angiogenesis, i.e. the development of neovascularisation in and around solid tumors, plays a key role in the local and distant growth of cancer and anti-angiogenic treatments are now established strategies to treat cancer patients.