Knee range of motion was measured before and after each exercise

Knee range of motion was measured before and after each exercise bout and 24 h after the final exercise bout. All blood samples were drawn by venipuncture from the antecubital vein into serum separator tubes (BD Vacutainer®, Franklin Lakes, NJ, USA) under sterile conditions. After inversion, tubes were allowed to clot for 30 min and then centrifuged at 1065g for 10 min at 4 °C. Approximately 3 mL of serum was aliquoted into Eppendorf tubes (3 × 1 mL per tube) and frozen at −80 °C until analysis. All serum samples were evaluated for IL-1β, IL-6, and IL-10 using a high sensitivity GW3965 purchase enzyme linked immunosorbent assay (ELISA) kits according to

the manufacturer’s instructions (R&D Systems, Minneapolis, Minnesota, USA). All assays were analyzed in duplicate within the same microplate to reduce variation. All cytokine assays were read for absorbance on a microplate reader at 490 nm (BioTek ELx808, Winooski, Vermont, USA). When the assay was completed, controls of low, moderate and high concentrations of the cytokines were performed to ensure the kit was functional. All controls were positive in the assay. Blood samples were drawn before and after each exercise bout and 24 h after the final exercise

bout. A single factor (time) repeated measures ANOVA was utilized to analyze changes in all dependent variables Cobimetinib clinical trial over time. If there were differences noted in the repeated measures ANOVA, a Tukeys HSD post-hoc test was performed to evaluate mean differences. The statistical analyses were performed using STATISTICA version 7 (StatSoft, Tulsa, Oklahoma, USA) software. The p-value was set at ≤0.05. The participants had the following baseline characteristics: mean ± SEM, age: 21.9 ± 0.6 years; height: 179.5 ± 1.6 cm; and weight: 82.9 ± 2.7 kg. There were no differences noted for the changes in isometric strength over the 4 days (see Table 1, p = 0.066). Arachidonate 15-lipoxygenase On the second and third day both before and after the eccentric exercise intervention there was a significant increase in DOMS compared to baseline

(see Fig. 2). There were no other differences noted for DOMS at any of the other time points. The average of the peak torque produced in each of the 6 sets performed each day was taken and compared over the 3 days. There was no statistical difference noted for the change in average power generated over the 3 days (Day 1: 266.7 ± 26.1 vs. Day 2: 242.7 ± 16.9 vs. Day 3: 263.7 ± 13.7 N m, p = 0.328). There were no differences noted in thigh circumference over the 4 days (see Table 1, p = 0.319). Further, there were no differences between time points for the range of motion produced about the knee joint over the 4 days (see Table 1, p = 0.328). Over the 4 day measurement period IL-6 did not show any significant changes as a result of the eccentric exercise intervention (see Table 1, p = 0.983). Interleukin-1β and interleukin-10 were undetectable in the ELISA.

Psychophysical properties of different imaging systems, such as a

Psychophysical properties of different imaging systems, such as analogue and digital systems, can be

quantitatively compared with the PCs [11]. Psychophysical properties of the digital intraoral systems have been shown to be superior to those of intraoral films. The main disadvantage of the PC test is that resolution of the imaging system cannot be evaluated with this method. With regard to resolution, digital systems are inferior to analogue films. Simplified version of the PC has also been used to compare different imaging systems [12], [13] and [14] or the effect of different viewing conditions [15]. This approach can be used to evaluate observer performance if the experimental conditions are exactly the same when the comparison is made. Psychophysical property cannot be evaluated with this simplified version since a simple change of the tube potential will easily affect the results [8]. As described above a RG7420 concentration test object used to construct PCs is usually a homogeneous block. An aluminum step phantom with small holes may be used to simulate the clinical radiation contrast range (Fig. 4) [16]. Using this phantom, differences in image quality could be quantitatively evaluated according to the number of visible holes in the radiographs [17]. In contrast to superior psychophysical properties of the digital systems, observer performance

to detect low contrast details in digital systems is inferior to Everolimus that in films in its original displayed image. Such inferior performance was improved by contrast enhancement, since inherent psychophysical properties of the digital systems are superior to those of films [17]. Human perception of all stimuli follows a non-linear relationship between the magnitude stimulus and the perceived Phosphoglycerate kinase one. As the psychophysical phase includes “image store”, “image display”, and “image perception”, displayed images should be presented to the observer in the manner that each change in digital driving level of the display yields a perceptually equal step in perceived brightness by the human observer. This perceptual linearlization plays a significant role in medical image presentation [18]

and a display function standard is proposed to minimize the mismatches between hard and soft copy presentation and to maintain standardized performance [19]. DICOM “grayscale standard display function” (GSDF) is proposed to be used by all imaging systems [20]. By exploiting the GSDF on all parts of the imaging chain, the same contrast impression on every monitor device can be obtained. In addition to perceptual linearlization, compensation for the exponential attenuation function of the X-ray in the object is significant. Fig. 5 shows two radiographs of the step phantom obtained with film and with a digital intraoral system. It is clear that radiographic contrast obtained with the digital system is completely different from that obtained with film.

PGE2 contributes to the pathogenesis of several chronic

i

PGE2 contributes to the pathogenesis of several chronic

inflammatory conditions, including periodontitis, RA and cardiovascular inflammatory disease. High concentrations of PGE2 have been FG-4592 supplier detected in the synovial fluid of patients with OA and RA [82] and [83]. PGE2 has also been found in TMJ synovial fluids from patients with ID, and is associated with synovitis index based on synovial membrane hyperemia as the diagnostic criteria for TMJ arthroscopy [84] and [85]. It has been reported that cytokine-activated cells, such as synovial cells, chondrocytes and macrophages/monocytes, are the primary source of PGE2 in arthritic joints. PGE2 production at sites of inflammation coincides with the up-regulation of COX-2 expression in articular cells activating pro-inflammatory factors [86]. The existence of four EP receptor subtypes (EP1–4) encoded by distinct genes also contributes to the diversity of the biological activity of PGE2[87]. EP1 acts largely by increasing calcium flux but perhaps also via protein kinase C (PKC) [88]. Although it might be coupled to Gq, the absence of a PD-1/PD-L1 inhibitor phosphatidylinositide response has led to speculation that it is coupled to an as yet unidentified G protein [87]. Both

EP2 and EP4 are coupled to Gs and stimulate cyclic 3,5-adenosine monophosphate (cAMP) formation [89] and [90]. EP3 is coupled to Gi and acts largely by inhibiting cAMP production [91]. FLS from patients with RA and OA mainly expressed EP2 and EP4 [92]. A previous study has shown that PGE2 increased the production of pro-inflammatory cytokines such as IL-6 and VEGF

in FLS with RA and OA through the activation of EP2 and EP4, and with increases in cAMP [92]. These findings suggest that elevated PGE2 production is associated with inflammatory joint diseases, and can lead to bone loss. On microarray analysis, EP2 and EP4 were expressed in FLS from patients with ID TMJ, and the expression of EP2 and EP4 was slightly elevated in FLS treated with IL-1β or TNF-α (Table 3). The agonists of EP2 and EP4, and PGE2 stimulate the production of IL-6 in FLS (Fig. 4) [19]. EP4 receptor was partially effective with regard to IL-6 production in FLS mediated by PGE2, as indicated by treatment with EP4 tetracosactide agonist. Expression of EP4 receptor was at a lower level than that of the EP2 receptor (Table 3), and was transiently enhanced by IL-1β [19]. PGE2 affects IL-6 production through EP2 and EP4 in the FLS. In addition, COX inhibitors (indomethacin or celecoxib) decreased the expression of IL-6 in FLS stimulated with IL-1β (Fig. 5) [19]. Our results suggest that COX inhibitors as non-steroidal anti-inflammatory drugs (NSAIDs) are useful for treating synovitis in TMJ through the suppression of both PGE2 and inflammatory mediators such as IL-6.

The authors thank the Brazilian Funding Agencies FAPESP and CNPq

The authors thank the Brazilian Funding Agencies FAPESP and CNPq for their financial support. “
“Cafestol (1) and kahweol (2) (Fig. 1) are two examples of naturally-occurring furan diterpenes in the lipid fraction of coffee (Bengis and Anderson, 1932, Djerassi et al., 1953, Haworth et al., 1954, Dias et al., 2010, Haworth and Johnstone, 1956 and Lam

et al., 1982). Of the two most significant species in the buy CB-839 coffee trade, Coffea arabica L. (Arabica) contains about 0.6% of cafestol (1) and 0.3% of kahweol (2) while Coffea canephora Pierre (Robusta) contains mostly cafestol (1) (0.2%) and 16-O-methylcafestol (0.15%), not present in Arabica coffee ( De Roos et al., 1997, Nackunstz and Maier, 1987, Pettitt, 1987 and Ratnayake et al., 1993). Coffee furan diterpenes are mainly present in the esterified form, with 26 different fatty acids, and only small amounts are in the free form ( Fig. 1) ( Kurzrock & Speer, 2001). The amount of diterpenes present in the coffee brew

depends on the way coffee is prepared. The highest content of diterpenes was found in boiled, unfiltered coffee brews, while in drip-filtered coffee brews they are Y-27632 in vitro negligible Morin Hydrate (Martín, Pablos, González, Valdenebro, & León-Camacho, 2001). Cafestol and kahweol have been described to be both desirable

and undesirable in human health. They are anticarcinogenic (Butt and Sultan, 2011, Cavin et al., 2002, Hatzold, 2012, IARC, 1991, Kim et al., 2009, Lam et al., 1982, Lee et al., 2007 and Tao et al., 2008), antioxidant (IARC, 1991 and Lee and Jeong, 2007) and anti-inflammatory (Bertholet, 1987) and showed hepatoprotective effects (Lee et al., 2007). On the other hand, a hypercholesterolaemic action has been reported, attributed mainly to cafestol (Arnesen et al., 1984, Butt and Sultan, 2011, Hatzold, 2012, Urgert et al., 1995 and Weusten-Van Der Wouw et al., 1994), and they are also responsible for increasing low-density lipoprotein (Urgert & Katan, 1997). Green coffee oil is obtained by mechanical cold pressing or extraction with solvents, such as hexane, but these traditional methods are labour intensive and time-consuming, and sometimes require large quantities of solvents (Araujo & Sandi, 2006). Other procedures involve supercritical fluid extraction method (SFE) (Araujo and Sandi, 2006 and De Azevedo et al., 2008) and high-speed countercurrent chromatography (HSCCC) (Scharnhop & Winterhalter, 2009).

The diagnosis here was initially missed because the patient did n

The diagnosis here was initially missed because the patient did not report taking nitrofurantoin

when asked about medication. The case highlights the importance of detailed history taking in complex cases, and that patient modesty or embarrassment may lead to important omissions of personally sensitive key information. Written patient consent was obtained. The authors declare no conflict of interest. None. “
“A previously healthy 20-year-old female from England had flown into the US with friends for a “pumping party”. She arrived with the intention of injecting 3000 ccs of hospital grade silicone into her thighs and buttocks, AZD6244 in vitro with lesser quantities for her friends who had previously received silicone injections without complications. Approximately 4 h after administration of the injections she began to experience chest tightness see more with mild dyspnea and was taken to the ER. On physical examination, the patient was in no distress while breathing room air. Vital signs were normal. The lungs, heart, and abdominal examinations revealed no abnormalities. The extremities demonstrated extensive bilateral greater trochanteric swelling without erythema with a palpable doughy consistency. Neurologic examination revealed no focal deficits. Laboratory data including complete blood count, serum chemistry, cardiac enzymes

and urine for toxicology screening were all negative. Initial electrocardiogram was normal and chest

radiographs showed diffuse interstitial infiltrates and minimal pulmonary vascular congestion (Fig. 1). Ninety minutes later, she became lethargic, markedly dyspneic and diaphoretic. Arterial blood gas analysis on 100% oxygen were pH 7.29, pCO2 37 mmHg, pO2 53 mmHg, and oxygen saturation 82%. She was intubated Selleck Abiraterone and transferred to the ICU. Chest CT revealed subcentimeter non-calcified pulmonary nodules, peripheral ground-glass opacities and interlobular septal thickening in all lung lobes (Fig. 2). What is the diagnosis? Silicone embolism syndrome (SES) is a potentially fatal, multisystemic complication that results from the illegal cosmetic injection of liquid silicone (polydimethylsiloxane). Although silicone polymers were favored for use in cosmetic procedures (Fig. 3) as they were previously believed to be immunologically inert compounds with high thermal stability and minimal tissue reaction,1 there is increasing evidence showing a widespread inflammatory reaction to its administration.2 Beyond the occurrence of direct intravascular injection which frequently occurs in illicit cosmetic silicone administration, embolic phenomena can also occur as a result of silicone penetration into the microvasculature in the setting of increased perivascular tissue pressure.

9461) The high correlation coefficient values obtained demonstra

9461). The high correlation coefficient values obtained demonstrate the accuracy and robustness of the GOD/invertase method. It is important to notice that although the new method has been developed to quantify sucrose in soybean seeds it can be used for other types of biological samples. In the case of soybean the amount of free glucose is negligible (Hou, Chen, Shi, Zhang, & Wang, 2009), however, the amount of free glucose should be considered when adapting this procedure to other types of biological materials. A control without addition of invertase would be necessary when free glucose is present. The method developed

requires basically a spectrophotometer adapted for reading ELISA plates and low-cost reagents. It is an unexpensive alternative for sucrose quantification analyses in soybean breeding programs and can be easily adapted to other species, allowing low cost large-scale analyses. Epacadostat clinical trial This work was supported by grants from the Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). “
“Syzygium cumini fruit, known as jambolão, black plum, jambolan, Java plum or jamun, is a plant from the Myrtaceae family,

originated in tropical Asia, specifically India. Its synonym names are Eugenia jambolana and Eugenia cumini ( Veigas, Narayan, Laxman, & Neelwarne, 2007). Jambolão fruits are small, with 2–3 cm long, ovoid form with a purple-red R428 to black colour when ripe, containing a fleshy pink or almost white pulp with astringent taste ( Benherlal & Arumughan, 2007). Due to the popular use of jambolão leaves and fruits to assist in the treatment of diabetes, the antioxidant properties of extracts from different parts of the plant were evaluated in recent years. For example, the seed kernel of the jambolão fruits showed high activity against the superoxide anion and hydroxyl radical when compared to standards, such as catechin and Trolox (Benherlal & Arumughan, 2007). In addition, a jambolão fruit

extract showed antiproliferative and pro-apoptotic effects against breast cancer cells, but not toward the normal breast cells (Li et al., 2009a). Compared to other fruits, extracts Demeclocycline from jambolão fruit showed high antioxidant activity induced by copper acetate in liposomes, while in the β-carotene-linoleic acid system, this activity was intermediate (Hassimotto, Genovese, & Lajolo, 2005). These beneficial effects are most probably related to the presence of bioactive compounds, such as carotenoids and phenolic compounds. The major anthocyanins identified in jambolão were reported to be 3,5-diglucosides of delphinidin, petunidin and malvidin (Brito et al., 2007, Li et al., 2009a and Veigas et al., 2007). However, no information was found in the literature regarding the identification of non-anthocyanic phenolic compounds or of carotenoids in jambolão fruits.

, 2012), whereas low MVF was associated with high levels of ambie

, 2012), whereas low MVF was associated with high levels of ambient PM2.5 on the preceding two days (Pope et al., 2011). The indoor PNC levels in our study partly originated from the use of candles (Bekö et al., 2013), which might a have limited effect on vascular function. Moreover, MVF and other measures of endothelial function might be most susceptible to ambient PM from traffic-related sources due to a combination of small size and chemical composition. We found a positive association between levels of HbA1c and indoor PNC, but not with outdoor PNC and PM mass, which could be consistent with long-term PS-341 effects related

to indoor exposure. The level of HbA1c is an indicator of the average level of blood glucose over the previous 2–3 months and related to the risk of diabetes and cardiovascular disease in the general population (Jorgensen et al., 2004). A recent study investigating the relationship between long-term air pollution exposure and risk factors for cardiovascular diseases INCB024360 mw found that the HbA1c level was positively associated with the levels of PM, O3 and NO2 (Chuang et al.,

2011). Similarly, the risk of diabetes was associated with long-term exposure to traffic-related air pollution in Denmark (Andersen et al., 2012). Such adverse effects of air pollution could be related to chronic low-grade systemic inflammation. We found that indoor levels of PNC and endotoxin in settled dust were inversely associated next with lung function with a 2% decrease per IQR change for both these pollutants. This dual association between PNC and endotoxin and lower lung function could be related to the ability of indoor PM as allergen carrier

(Ormstad, 2000). The composition of indoor UFP may play an important role in their adverse health effects, since around 20% of airborne particles are biological components, and some of them e.g. endotoxin may contribute to PM toxicity (Degobbi et al., 2011). However, the bioaerosol levels in Danish homes can vary considerably, depending on occupancy and season (Frankel et al., 2012 and Madsen et al., 2012). The association between indoor exposure to allergens and lower lung function is well known for individuals with respect to respiratory allergies or asthma (Sublett, 2011). Although our subjects did not suffer from asthma, the association between lung function and exposure to endotoxin in the home is consistent with results of previous studies on the prevalence of asthma in adults and children (Michel et al., 1996 and Rabinovitch et al., 2005). There are only few investigations on the association between exposure to indoor-levels of PM and lung function, although it has been hypothesized to be an important determinant for respiratory symptoms and diseases including asthma (Delfino, 2002 and Weisel, 2002). Most studies included subjects with existing disease and none included exposure in terms of PNC.

4B The intensities

of ions b and f were relatively high

4B. The intensities

of ions b and f were relatively high in all ARG samples, but they were undetectable in the KRG samples. Ions a, c, d, and e were detected in most of the samples, but the intensities of these ions were find more relatively higher in all ARG samples than in the KRG group. The ion intensity trends suggested that components related to ions a–f could be used as potential chemical markers of ARG to distinguish it from KRG. The intensities of ions h and j were relatively high in all KRG samples, but they were undetectable in ARG. And ions g, i, k, and l were mainly detected in KRG as relatively higher intensities than in another group. These ion intensity trends suggested that components related to ions g–l could be used as potential chemical markers of KRG to distinguish it from ARG. In order to identify the important potential marker ions, such as ginsenoside Rf, Ra1, F2, and 24(R)-pseudoginsenoside F11, a qualitative analysis of ginsenosides present in KRG and ARG was performed. The identifications

of marker ions confirmed in samples by individual ginsenoside standard Caspase inhibitor materials were compared with respect to each other, and the results are summarized in Table 2. As a result, ions b and f were the fragment ions from the same molecule, and these ions were [M−H]– and [M−H+HCOOH]– from 24(R)-pseudoginsenoside F11, respectively, and ion h was [M−H]– from ginsenoside-Rf. These two ginsenosides occupy an important position in Fig. 4A (top-right and lower-left corner of “S”). This phenomenon confirmed the fact that ginsenoside-Rf and 24(R)-pseudoginsenoside F11 could be used as marker substances of KRG and ARG, respectively. Ginsenosides Ra1 and F2 were confirmed in all samples, but do not occupy an important position in Fig. 4A. This is because ginsenosides Ra1 and F2 had low values of “factor of change” derived from the low concentration and high standard deviation in samples. This means that these ginsenosides showed a low contribution to the

distinction between the processed ginseng genera. 4-Aminobutyrate aminotransferase Other potential marker ions were identified by comparing the spectrum of standard materials and selected ions in samples and individual retention times. Ions a and c were the fragment ions from the same molecule, and these ions were [M−H]– and [M−H+HCOOH]– from ginsenoside Rd, respectively. Ions d and e were the fragment ions from ginsenoside-Re with respect to [M−H]– and [M−H+HCOOH]–. Ions g and k were confirmed as [M−H]– and [M−H+HCOOH]– of ginsenoside Rc, and ion i was confirmed as [M−H]– ion of ginsenoside Rg1 by use of standard materials. These ions could not be used as a marker substance; it is only because of the difference between the concentrations of the two groups is a phenomenon. These are called “false-positives” in metabolomics and should be excluded by other verification methods (using standard material). Finally, in Fig. 4, ion j occupies an important position but could not be confirmed by standard materials.

We used a principal components analysis (PCA) as a multivariate e

We used a principal components analysis (PCA) as a multivariate exploratory technique to detect the variables most significantly related to the BN regeneration density. The PCA included the density (1), number of cycles (2), site area (3), distance to the nearest conspecific adults (4), and fallow age (5). The past agricultural use was included as a Depsipeptide grouping variable (6). After the PCA ordination, we used a one-way analysis of variance (ANOVA) to relate the density separately to the number of cultivation cycles (1–3) and to past agricultural use. An ANOVA also served to relate the number of living sprouts

to the minimum number of times that each BN plant survived slash-and-burn. When an ANOVA detected significant differences, we used Tukey’s test for post-hoc mean comparisons. A linear regression analysis related the regeneration density to the variables fallow age (years) and site area (m2). The extractivists’ decisions to preserve fallows according to the observed BN regeneration density were analyzed using Student’s

t-test. The same test compared differences in height and diameter between BN individuals found within or on the perimeter of the sampled sites. In these cases, the variables were log10 transformed to improve the normality and homoscedasticity of the residuals. In the 40 sampled sites, we located 375 BN plants, including seedlings, saplings, and juvenile trees. The inventory of the nearest productive adult trees surrounding the sites included 74 possible seed sources. All of the sites had at least one productive selleckchem BN tree closer than 100 m to their perimeters with the exception of two pasture sites that were separated from the nearest parent tree by another pasture stretch. The remote sensing analysis based on the available satellite images proved adequate to distinguish between sites of one, two and three or more cultivation cycles, thus enabling us to match these results with information obtained from interviews with landholders. The PCA identified

the number of cultivation cycles as the variable most related to the BN regeneration density according to both the first and the second PCA axes (Fig. 1). The average learn more BN density varied significantly and positively with the number of cultivation cycles (F = 12.04; p < 0.001) ( Fig. 2a). The density also varied significantly according to the past agricultural use (F = 3.703; p = 0.034). Sites used exclusively for SC presented an average density significantly greater (p = 0.03) than that of pastures established directly in the mature forest, but not significantly different (p = 0.529) from the average density of pastures established after SC use ( Fig. 2b). The BN tree exhibited strong resprouting capability. For sites after at least two slash-and-burn cycles, the ratios between resprouted and uncut trees (grown from seed) were 3.

The Journal regrets this error “
“Due to an oversight, the

The Journal regrets this error. “
“Due to an oversight, the authors omitted follow-up data from the article titled, “Squamous Odontogenic Tumor-like Proliferations in Radicular Cysts: A Clinicopathologic Study of Forty-two Cases,”" by Rinku M. Parmar, Robert B. Brannon, and Craig B. Fowler, buy LDN-193189 which was published in J Endod 2011;37:623–6. In the article, this data should follow the section, “Histopathologic Features.” The missing text appears below. Follow-up information was available for 11 cases. The range of follow-up was 1 month to 10 years, and the average length of follow-up was 2.5 years. There were no recurrences or unexpected clinical

behavior reported among the 11 cases with follow-up. “
“Microbial control is paramount in clinical endodontics 1 and 2.

Among the treatment steps, chemomechanical procedures play a pivotal role in eliminating or reducing bacterial populations from the main root canal, but the disinfecting effects of instruments and irrigants may be somewhat hampered in cases with complex anatomy. A clear example includes the cross-sectional root canal configuration, which has been classified as round, oval, long oval, flattened, or irregular (3). Oval, long oval, and flattened canals are those presenting a ratio between the maximum and minimum cross-sectional diameter of less than 2:1, 2 to 4:1, and greater than 4:1, respectively (3). Numerous studies have reported that hand and rotary instrumentation of

Selleckchem LBH589 oval-shaped canals leaves unprepared buccal and lingual extensions or recesses 4, 5, 6, 7, 8 and 9, which can harbor remnants of necrotic pulp tissue and bacterial biofilms. Moreover, recesses can be packed with dentin debris generated and pushed therein by rotating instruments (10). Residual biofilms and infected debris can serve as a potential source of Carnitine palmitoyltransferase II persistent infection and treatment failure (11). Some approaches have been suggested to deal with the problem of cleaning and disinfecting oval canals. Ultrasonic instrumentation (12) and a combination of rotary nickel-titanium (NiTi) instruments and hand instrumentation with a modified Hedström file were reported to improve the preparation (13), but no technique completely cleaned oval-shaped canals. A histologic study (8) reported that preparation with hand Hedström files and another two techniques (anatomic endodontic technology and rotary NiTi instruments) failed to completely prepare and clean oval canals. Another recent study (7) evaluated the prepared surface areas of oval-shaped canals using four different instrumentation techniques: Hedström files in circumferential filing, ProTaper NiTi rotaries considering the oval canal as 1 canal, ProTaper considering buccal and lingual aspects of the oval canal as 2 individual canals, and ProTaper in a circumferential filing motion.