Regarding general activity, female atopic dermatitis patients sho

Regarding general activity, female atopic dermatitis patients showed significantly lower scores Wortmannin cell line than those of female psoriasis patients. No significant difference in scores of temperaments of lack of agreeableness, rhathymia, thinking extraversion, ascendance and social extraversion were detected among psoriasis patients, atopic dermatitis patients and healthy controls. The personalities of male psoriasis patients

were significantly different from those of atopic dermatitis patients and healthy controls. Female psoriasis patients showed a significantly different personality profile from that of atopic dermatitis patients, but not from healthy controls. Japanese psoriasis and atopic dermatitis patients show distinct personality profiles suggesting that specific a psychosomatic approach may be required during the treatment.”
“Sentinel lymph node biopsy (SLNB) is commonly recommended for patients with primary Merkel cell carcinoma (MCC). However, it is critically discussed whether survival rates improve by SLNB in MCC patients in general or in subgroups of higher risk (e.g. with primary tumor size >1cm). The present study correlates clinical data, histology and lymph

node status with follow-up and survival data to see if subgroups can be identified for modification of the current recommendations. The medical records of 47 patients with histologically confirmed MCC treated between 1995 and 2010 at a German dermatosurgery department were reviewed. Nineteen patients with excision of the primary tumor and SRT1720 SLNB were compared to 28 patients PF-573228 datasheet with excision of the primary tumor but without SLNB. End-points of this study were disease-free survival (DFS) and overall survival (OS). In addition, clinical course was correlated with tumor size and size of safety margin. The group of patients who received SLNB showed a significant advantage in terms of OS (P<0.05), but not in terms of DFS. Tumors of smaller size were associated with a significantly better DFS and a trend towards better OS. Comparing the groups with different safety margins (13cm), no differences in DFS and OS could be

found. Our data support the current recommendation for SLNB in all MCC patients and question the use of extensive safety margins in MCC surgery. Larger prospective multicenter studies with multivariate analysis are needed to confirm whether a prolonged OS is really due to the SLNB procedure or biased by other factors.”
“BACKGROUND: Propylene glycol ether is expected to be a safe substitute for toxic ethylene glycol ether usually used in industry owing to its negligible toxicity. Although catalysis of solid acids or bases for the synthesis of the ether can avoid separation of catalysts, liquid waste treatment and corrosion problems, it suffers from drawbacks, e.g. lower activity and selectivity to target product, high reaction pressure and temperature.


“Background: Reverse total shoulder arthroplasty is the ac


“Background: Reverse total shoulder arthroplasty is the accepted method of treatment for selected shoulder disorders. The purpose of this study was to compare primary

reverse shoulder arthroplasty surgical techniques as well as clinical and radiographic outcomes in patients with acquired glenoid bone defects and in those with normal glenoid morphology.

Methods: Preoperative three-dimensional computed tomography scans were performed on 216 shoulders in 211 patients undergoing primary reverse shoulder arthroplasty between 2004 and 2007. The glenoids were classified as normal or abnormal on the basis of preoperative radiographs and three-dimensional reconstructions of the scapula. One hundred and forty-three shoulders had been followed for two years. There were eighty-seven normal and fifty-six abnormal glenoids. The surgical techniques that were compared Linsitinib price included bone-grafting and glenosphere selection. The clinical outcomes for the two groups were compared with respect to the American Shoulder and Elbow Surgeons score.

Results: Surgical technique

differed between the groups. All fifty-six glenoids with acquired bone defects had center screw placement along an alternative (scapular spine) centerline. A bone graft was used in twenty-two shoulders Selleck R406 with acquired glenoid bone defects compared with none of those with normal glenoid morphology (p = 0.016). Shoulders with glenoid defects were treated with larger glenospheres (36 or 40 mm) more often than those with normal glenoids (p < 0.001). No significant difference was detected between the groups with regard to the preoperative or postoperative American Shoulder and Elbow Surgeons scores. Radiographs did not demonstrate failure or resorption of a glenoid bone graft when present. All outcomes improved significantly postoperatively. There were five complications, and one patient was unsatisfied with the result.

Conclusions: Glenoid bone defects, when managed with an alteration of surgical technique, including bone-grafting when indicated,

are not a contraindication to reverse total shoulder arthroplasty.”
“To investigate the perceptions of those with depression regarding their condition and treatment and discuss these findings in the light of the pharmacist’s role in mental health. Selleck LY2835219 This is a qualitative end quantitative study. The study was based on mixed methods, qualitative and quantitative, within the public health network, in 2 health care units of different cities between April 2010 and August 2011; 89 female patients were selected, and 68 agreed to participate in the study. Most women reported feelings of loneliness, abandonment and discouragement, and they think their problems with personal relationships cause depression. They also affirmed that they had little information about the disorder, but had positive expectations regarding improvement in symptoms. Around half of the patients said they had no support from their families.

Methods: A total of 236 patients underwent TEVAR Fourteen

Methods: A total of 236 patients underwent TEVAR. Fourteen

of these patients required open repair because of six aortobronchial fistulas, four retrograde type A dissections, two aneurysm enlargement without endoleak, one thoracic stent-graft collapse, and one aortoesophageal fistula. Eight (57.1%) patients underwent surgical repair using cardiopulmonary bypass. Six stent-grafts were totally removed, and eight stent-grafts were left in situ. Four patients underwent supracoronary ascending aorta replacement, and one an extensive replacement of the aortic arch through sternotomy. Three patients had descending aortic replacement through left thoracotomy combined with a total esophagectomy in one case. One patient was treated by ligation of the aortic arch, ascending to supraceliac abdominal aorta bypass and stent-graft explantation. One patient was treated by exclusion bypass of the descending selleckchem thoracic aorta. Pulmonary resection and large pleural or intercostal muscle flap interposition to wrap the stent-graft left in situ was done in Blasticidin S concentration four cases of aortobronchial fistula.

Results: All patients survived the surgical procedure. Ten patients (71%) had an uneventful postoperative course. There were two in-hospital deaths (14.3%). Both died from multi-organ failure in the early postoperative course after surgical repair of a stent-graft infection

and an aortoesophageal fistula. One patient suffered a definitive paraplegia and a secondary aortoesophageal fistula requiring reoperation for esophageal repair. One patient, treated by pulmonary resection and flap interposition to wrap the stent-graft, underwent stent-graft

explantation and in situ descending aortic replacement because of stent-graft reinfection. Actuarial survival was 87.7% after a mean follow-up of 26.3 months (range 9-72 months).

Conclusions: Complications or prevention of complications after TEVAR either due to device failure or adverse events may require conversion to open repair or additional open surgical procedure. Open repair can be performed by a team experienced in management of diseases of the thoracic aorta and a low mortality selleck chemicals llc rate achieved despite the precarious preoperative conditions and complex aortic pathologies of patients. (C) 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“This study is outlined to probe the chemical composition of essential oil and in vitro antioxidant activity of Juniperus oxycedrus ssp. macrocarpa (S. & m.) Ball. and Juniperus oxycedrus L. ssp. rufescens (L. K.) berries, collected from four sites, according to their maturity phase. The chemical composition of the hydrodistilled essential oil was analysed by GC-MS. Forty-eight compounds were identified, accounting for approximately 79.8-98.9% of the oil.

Periodic evaluation by trained specialists helps provide comprehe

Periodic evaluation by trained specialists helps provide comprehensive care, including transcranial Doppler examinations to identify children at risk for primary stroke, plus assessments for other parenchymal organ damage as patients become teens and adults. Treatment approaches that previously highlighted acute vaso-occlusive events are now evolving to the

concept of preventive therapy. Liberalized use of blood transfusions and Selleckchem PF00299804 early consideration of hydroxyurea treatment represent a new treatment paradigm for SCA management.”
“Cells implement functions through the computation of biological information that is often mediated by genetic regulatory networks. To reprogram cells with novel capabilities, a vast set of synthetic gene circuits has recently been created. These include simple modules, such as feedback circuits, feed-forward loops, ultrasensitive networks, band-pass filters, logic gate

operators and others, with each carrying a specific information processing functionality. More advanced cellular computation can also be achieved by assembling multiple simple processing modules into integrated computational cores. Further, when coupled with other modules such as sensors GPCR Compound Library and actuators, integrated processing circuits enable sophisticated biological functionalities at both intra- and intercellular

levels. Engineered genetic information processing circuits are transforming our ability to program cells, offering us extraordinary opportunities to explore biological mechanisms Selleck VX-680 and to address real-world challenges. WIREs Syst Biol Med 2013, 5:273287. doi: 10.1002/wsbm.1216 Conflict of interest: The authors declare no conflict of interest. These authors contributed equally to the work. For further resources related to this article, please visit the WIREs website.”
“Living cells are a fascinating demonstration of nature’s most intricate and well-coordinated micromechanical objects. They crawl, spread, contract, and relax-thus performing a multitude of complex mechanical functions. Alternatively, they also respond to physical and chemical cues that lead to remodeling of the cytoskeleton. To understand this intricate coupling between mechanical properties, mechanical function and force-induced biochemical signaling requires tools that are capable of both controlling and manipulating the cell microenvironment and measuring the resulting mechanical response. In this review, the power of microfluidics as a functional tool for research in cell mechanics is highlighted.

(C) 2009 Wiley Periodicals, Inc J Appl Polym Sci 115: 2892-2897,

(C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 115: 2892-2897, 2010″
“Disorganized muscle family member (Dim-1) belongs to immunoglobulin superfamily, and is a structural protein localized to the region of the muscle cell membrane

around and between the dense bodies. Strong immunogenicity to host’s immune system was induced by Dim-1 from Ascaris suum, which indicated that Dim-1 could be a potential candidate for vaccine. The homologues of Dim-1 were also detected in nematodes Brugia malayi and Trichostrongylus colubriformis. However, information on the complete coding sequence and protection potential of this molecule in Haemonchus click here contortus is lacking. In this study, full length of Dim-1 cDNA was cloned using a rapid amplification of cDNA ends (RACE) strategy and the DNA vaccine encoding Dim-1 open reading frame (ORF) was tested for protection against experimental H. contortus infections in goats. Fifteen goats were allocated into three trial groups. The animals of Dim-1 group were vaccinated with the DNA vaccine encoding Dim-1 on day 0 and 14, and challenged with 5000 infective

H. contortus third larval stage (L3) on day 28. An unvaccinated positive control group was challenged with L3 at the same time. An unvaccinated negative control group was not challenged with L3. The results indicated Dim-1 DNA vaccines were transcribed at local injection sites and expressed in vivo post immunizations respectively. Following L3 challenge, the mean eggs per gram feces (EPG) and worm burdens of Dim-1 group were reduced by 45.7% and 51.1%, respectively. Significantly high levels of Entrectinib cost serum IgG, Protein Tyrosine Kinase inhibitor serum IgA, mucosal IgA, CD4(+) T lymphocytes and B lymphocytes

of Dim-1 group were produced. While compared with the negative control group, increased numbers of blood eosinophils and lymphocytes and declined haemoglobin level were observed in the Dim-1 group after L3 challenge. The preliminary study suggest that recombinant H. contortus Dim-1 DNA vaccine induced partial immune response and has protective potential against goat haemonchosis. (c) 2013 Elsevier Ltd. All rights reserved.”
“In this work, we combined an experimental technique and a detailed data analysis to investigate the influence of an applied pressure on the anisotropic dielectric functions of highly oriented poly (p-phenylene vinylene) (PPV). The dielectric constants were derived from polarized reflectance spectra recorded through a diamond anvil cell up to 50 kbar. The presence of the diamond anvils strongly affects measured spectra requiring the development in an optical model able to take all spurious effects into account. A parametric procedure was then applied to derive the complex dielectric constants for both polarizations as a function of pressure. A detailed analysis of their pressure dependence allows addressing the role of intermolecular interactions and electron-phonon coupling in highly oriented PPV.

NO level was

found to be increased significantly in patie

NO level was

found to be increased significantly in patients who developed cough (n = 28) compared with those who did not cough (n = 72). These results suggest that iron supplementation suppresses cough in patients on ACE-I therapy through its effect on NO generation.”
“The circadian clock comprises a set of genes involved in cell-autonomous transcriptional feedback loops that orchestrate the expression of a range of downstream genes, driving circadian patterns of behavior. Selleckchem P505-15 Cognitive dysfunction, mood disorders, anxiety disorders, and substance abuse disorders have been associated with disruptions in circadian rhythm and circadian clock genes, but the causal relationship of these associations is still poorly understood. In the present study, we investigate the effect of genetic disruption of the circadian clock, through deletion of both paralogs of the core gene cryptochrome (Cry1 and Cry2). Mice lacking Cry1 and Cry2 (Cry1(-/-)Cry2(-/-)) displayed attenuated dark phase and novelty-induced locomotor

activity. Moreover, they showed impaired recognition memory but intact fear memory. Depression-related behaviors in the forced Z-DEVD-FMK mouse swim test or sucrose preference tests were unaffected but Cry1(-/-)Cry2(-/-) mice displayed increased anxiety in the open field and elevated plus maze tests. Finally, hyperlocomotion and striatal phosphorylation of extracellular signal-regulated kinase (ERK) induced by a single cocaine administration are strongly reduced Mdivi-1 in Cry1(-/-)Cry2(-/-) mice. Interestingly, only some behavioral measures were affected in mice lacking either Cry1 or Cry2. Notably,

recognition memory was impaired in both Cry1(-/-)Cry2(+/+) and Cry1(+/+)Cry2(-/-) mice. Moreover, we further observed elevated anxiety in Cry1(-/-)Cry2(+/+) and Cry1(+/+)Cry2(-/-) mice. Our data indicate that beyond their role in the control of circadian rhythm, cryptochrome genes have a direct influence in cognitive function, anxiety-related behaviors and sensitivity to psychostimulant drugs.”
“P>Sleep-disordered breathing (SDB) is a continuum of breathing abnormalities that affects children and adults. This disorder has been continuously evolving, particularly in children, with new insights in its pathogenesis, clinical manifestations, diagnosis, treatments, and outcomes. The purpose of this review is to provide a current framework for pediatric anesthesiologists to address the perioperative needs of these children to ensure their safe conduct through anesthesia.”
“Aim: The renin-angiotensin-aldosterone system has been implicated in the pathogenesis of insulin resistance and nonalcoholic fatty liver disease (NAFLD). The beneficial effect of spironolactone in a mouse model with diabetes and NAFLD has recently been reported. The main aim was assessment of the effect of spironolactone on serum metabolic parameters and insulin resistance in patients with NAFLD.

In particular, the simulations explored the effects of the period

In particular, the simulations explored the effects of the periodic boundary

conditions of the ZSM-22 pores and the SF(6)-SF(6) molecular interactions on the time (t) dependence of the mean square displacement (d) of the SF(6) molecules. The simulation results clearly indicate that, with time, the molecules undergo three types of diffusions in sequence: a projectile diffusion regime with d similar to t(2), a single-file diffusion regime with d similar to t(0.5), and a normal diffusion regime with d similar to t(1). The time for the transition from the single-file diffusion selleck chemicals to the normal diffusion increases with the length of the pores. When the interaction between the SF(6) molecules is sufficiently strong, there exists also a suppressed single-file (SSF) diffusion regime in between the single-file and normal diffusion regimes that is characterized by d similar to t(alpha) with alpha < 0.5. The intermolecule interaction also substantially affects the durations of the single-file diffusion and the SSF diffusion, as well as the time for the transition to the normal diffusion state. A detailed discussion is provided that compares the results from

this work with those from previous simulation and experimental works. (C) 2009 American Institute of Physics. [doi:10.1063/1.3247576]“
“To investigate the effect of interfacial interaction on the crystallization and mechanical properties of polypropylene (PP)/nano-CaCO3 composites, three kinds of compatibilizers [PP grafted with maleic anhydride (PPg-MA), ethylene-octene

copolymer grafted Ipatasertib with MA (POE-g-MA), and ethylene-vinyl acetate copolymer grafted with MA (EVA-g-MA)] with the same polar groups (MA) but different backbones were used as compatibilizers selleck products to obtain various interfacial interactions among nano-CaCO3, compatibilizer, and PP. The results indicated that compatibilizers encapsulated nano-CaCO3 particles, forming a core-shell structure, and two interfaces were obtained in the cornpatibilized composites: interface between PP and compatibilizer and interface between compatibilizer and nano-CaCO3 particles. The crystallization and mechanical properties of PP/nano-CaCO3 composites were dependent on the interfacial interactions of these two interfaces, especially the interfacial interaction between PP and compatibilizer. The good compatibility between PP chain in PP-g-MA and PP matrix improved the dispersion of nano-CaCO3 particles, favored the nucleation effect of nano-CaCO3, increased the tensile strength and modulus, but reduced the ductility and impact strength of composites. The partial compatibility between POE in POE-g-MA and PP matrix had little effect on crystallization and mechanical properties of PP/nano-CaCO3 composites. The poor compatibility between EVA in EVA-g-MA and PP matrix retarded the nucleation effect of nano-CaCO3, and reduced the tensile strength, modulus, and impact strength. (C) 2009 Wiley Periodicals, Inc.

Results were analysed dividing the patients into two main groups

Results were analysed dividing the patients into two main groups according to their body mass index (BMI): group 1, control: BMI 18-24.9 and group 2 BMI, test > PD98059 molecular weight 25. Subgroups were built: (0) BMI 25-29.9, (I) BMI 30-34.9, (II) BMI 35-39.9, (III) BMI > 40. Exclusion criteria were defined as: delivery < 37 + 0 weeks p.m., multiple pregnancy, comorbidity other than GDM, abnormal presentation, BMI < 18.5, and incomplete

data. The main outcome parameter was defined as secondary caesarean delivery rate and mode of delivery.

N = 8,379 patients met the inclusion criteria and were divided in two groups: 1, n = 4,464 patients and 2, n = 3,915. Basic maternal characteristics including foetal vital parameters were equal in all groups. GDM occurred more Tubastatin A in vivo frequently in obese patients (P < 0.001). For the main outcome parameter a significant decrease in the rate of spontaneous delivery between control/test groups (72-66%, P < 0.001) and control/I-III groups (72 vs. 50%, P < 0.001) could be observed. The rate of secondary c-section increased significantly according to a higher BMI (> 40: OR 2.5, 95% CI 1.84-3.61, chi (2) P < 0.001). The groups showed no difference in the rate of injuries during delivery though foetal birth weight increased significantly with a higher BMI (3,412-3,681 g; P < 0.001).

Obesity

decreases the chance to deliver spontaneously. Moreover, the obese patient suffers from a significantly longer trial of labour (7.9 vs. 9.5 h) and an elevated risk of surgical delivery.”
“Ten nanofiltration flat-sheet membranes and eight tight ultrafiltration membranes with nominal MWCOs ranging from 0.2 to 150

kDa were tested to concentrate anthocyanin extract from roselle. A pilot system was used, which featured a membrane cell with an effective area of 0.0155 m(2). Permeate fluxes were recorded for transmembrane pressures between 0.5 and 3.0 MPa, while keeping all other operating conditions constant (volumetric reduction ratio 1, 35 degrees C). Retention values of total soluble solids, acidity and anthocyanins increased with transmembrane PKC inhibitor pressure. With similar permeate fluxes at average transmembrane pressure, retention of anthocyanins is significantly higher for nanofiltration membranes than for ultrafiltration membranes. A membrane was then selected for an industrial trial on the basis of its flux, retention of compounds of interest and energy consumption per liter of permeate. The trial using a 2.5-m(2) filtration surface, could concentrate roselle extract from 4 to 25 g total soluble solids per 100 g, with 100% retention of anthocyanins. No significant damages were observed when comparing concentrate quality with the initial roselle extract. (C) 2011 Elsevier Ltd. All rights reserved.”
“The primary objective of this study was to compare outcomes of absorbable and permanent suture for apical support with high uterosacral ligament vaginal vault suspension (HUSLS).

Severe suppression (BiP1 KD) or significant over-expression (BiP1

Severe suppression (BiP1 KD) or significant over-expression (BiP1 OEmax) of BiP1 not only altered seed phenotype and the intracellular structure of endosperm cells, but also reduced seed storage protein content, starch accumulation and grain weight. Microarray and RT-PCR analyses indicated that expression of many chaperone and co-chaperone genes was induced in transgenic plants, with more prominent expression in the BiP1 KD line than in

the BiP1 OEmax line. Transcriptional induction of most chaperones was observed in calli treated with dithiothreitol or tunicamycin, treatments that trigger Dinaciclib nmr ER stress, indicating that induction of the chaperone genes in transgenic rice was caused by an ER stress response. In transient assays using rice protoplasts, the ortholog (Os06g0622700) of the AtbZIP60 transcription factor was shown to be involved in activation of some chaperone genes. Slight increases in the BiP1 level compared with wild-type, accompanied by increased levels of calnexin and protein disulfide isomerase-like proteins, resulted in significant enhancement of seed storage protein content, without any change in intracellular structure or seed phenotype. Judicious modification

of BiP1 levels in transgenic rice can provide suitable conditions for the production Torin 1 of secretory proteins by alleviating ER stress.”
“Hydroquinone, a dihydroxylated benzene derivative is used therapeutically as a topical AZD1080 agent for the treatment of certain skin conditions. Ten (10) cosmetic creams containing hydroquinone were randomly sampled based on consumer demand from the open market in Jos, Plateau State. The labels on the packages noticeably did not indicate the levels of hydroquinone

present. The creams were subjected to colour and chromatographic test for identification, as well as assay by UV spectrophotometry. All ten (10) creams sampled, gave positive results to the test for hydroquinone. The level of hydroquinone was below 2% for seven of the creams, between 2 – 5% for two and above 5% for one. (The upper limit for cosmetic creams is 2 and 5% for therapeutic use). This study shows that despite the potential health hazards of hydroquinone, cosmetic products containing this agent are available for sale in the open market with inadequate warning on the labels.”
“From the 1-BuOH-soluble fraction of a MeOH extract of the leaves of Schoepfia jasminodora collected from Okinawa Island, two new galloyl esters and 15 known compounds were isolated. The structures of the new compounds were elucidated by spectroscopic analysis to be isoorientin 4aEuro(3)-O-gallate and (2S)-1,2-propanediol 1-O-beta-d-glucopyranoside 6′-O-gallate. The compounds possessing galloyl or cathechol moieties showed equal radical scavenging activity.

The luminescence of the samples becomes more intense at low tempe

The luminescence of the samples becomes more intense at low temperatures, indicating that nonradiative relaxations dominate the

dynamics of the in-gap states. The DFWM experiments allowed for measurements of the homogeneous relaxation time, (20 +/- 3) fs, of the third-order polarization at room temperature. The main contributions to the dynamics of the electronic response are attributed to the trapping of electrons in the in-gap states and to carrier and phonon scattering. (C) 2011 American Institute of Physics. [doi:10.1063/1.3596518]“
“Objective: Therapy for convulsive seizures is usually initiated on the basis of clinical assessment, without video/EEG confirmation, but a nonepileptic origin may eventually be demonstrated. This study evaluates the diagnostic value of a witness-questionnaire in distinguishing between convulsive epileptic seizures (CES) and convulsive nonepileptic seizures (CNES).

Methods: FDA-approved Drug Library cost We prospectively identified all adult patients admitted for video/EEG evaluation of convulsive attacks selleck screening library and interviewed the “”best”" witness using 12 questions on ictal and postictal features.

Results: Video/EEG diagnosed CES in 19 and CNES in 26 patients. The predictive accuracy of the questionnaire was 84.4%. Six features were strong predictors of CNES diagnosis: ictal eye closure, presence of side-to-side movements, prolonged seizure duration, and three postictal breathing features (not

loud, shallow, no snoring).

Conclusion: A structured witness questionnaire distinguishes CES and CNES and will help in selecting patients for early video/EEG evaluation and rapid initiation of appropriate therapy. (C) 2010 Elsevier Inc. All rights reserved.”
“Aim: To compare the outcome of two perioperative protocols with respect to postoperative management of cystectomy patients. Patients and Methods: Between June 2007 and November 2008, 85 consecutive patients with bladder cancer were treated with cystectomy and urinary diversion. Patients

were operated in two hospitals by four urologic surgeons. In protocol A, patients were enterally fed via a postpyloric tube while the nasogastric tube (NGT) was removed directly after LCL161 molecular weight cystectomy and selective decontamination of the digestive tract was given until normal oral intake. In protocol B, postcystectomy management consisted of total parenteral nutrition by a central venous line and NGT removal after 24 h. Hospital stay and complications were compared between the two hospitals. Results: More than half of all patients (52%) developed one or more complications within 30 days after surgery, 37% in protocol A and 71% in protocol B (p = 0.002). Higher ASA score and protocol type were the only factors significantly associated with early complications in both uni- and multivariate analyses. Length of stay was significantly shorter with protocol A as compared to protocol B, 13 days versus 19 days (p = 0.006).