Iron is an essential element for many organisms, because it const

Iron is an essential element for many organisms, because it constitutes reaction centers of a variety of catabolic enzymes, such as cytochromes and iron/sulfur proteins in respiratory electron-transport chains (Wandersman & Delepelaire, 2004). This is particularly true for DMRB, such as Shewanella, as multiheme c-cyts are the main components of the EET pathway (Shi et al., 2007). In the environment, ferric iron (Fe3+) forms ferric-oxide hydrate complexes (Fe2O3·nH2O) in the

presence of oxygen and water under neutral and basic Oligomycin A cell line conditions. These complexes are very stable, leading to very low free Fe3+ concentrations (10−9 to 10−18 M; Miethke & Marahiel, 2007). Ferrous iron (Fe2+) is soluble in water at neutral pH and can be directly incorporated into living cells by a siderophore-independent

system (e.g. FeoA/FeoB; Andrews et al., 2003). As Fe2+ is stably present under anaerobic conditions, it is reasonable that intracellular iron content was not affected by the SO3030 disruption under fumarate-reducing condition (Table 1). Fe2+ is however spontaneously and rapidly oxidized to Fe3+ in the presence of molecular oxygen, and chelating agents (e.g. siderophores) and associated chelated Fe3+ uptake systems are therefore necessary for bacteria to acquire iron Nutlin-3a in vivo under aerobic conditions. Besides, this study found that Amylase the cellular iron content is remarkably low when Shewanella cells were grown under anaerobic MnO2-reducing conditions (Table 1), suggesting that the presence of MnO2 causes iron deficiency of Shewanella cells even under anaerobic conditions. This result can be explained by observations that ferrous iron is oxidized by MnO2 (Myers & Nealson, 1988b; Schippers & Jørgensen, 2001). It is therefore likely

that soluble Fe2+ is scarcely present in the presence of MnO2, and the siderophore-deficient cells are difficult to utilize insoluble iron(III) generated under MnO2-reducing conditions. In support of this idea, we found that ΔSO3030 reduced MnO2 as fast as WT when 50 μM soluble iron(III)-citrate was added in media as an iron source (data not shown). The transcription of the OM-cyt genes (omcA and mtrC) was repressed under iron-limiting and MnO2-reducing conditions, and this repression was pronounced in the siderophore-deficient mutant (Figs 4 and 5). These results suggest that iron availability and metal-reducing activities are coordinately regulated in S. oneidensis MR-1 under metal-reducing conditions. Iron-dependent expression of OM-cyt genes has been reported for Shewanella cells grown under aerobic conditions (Yang et al., 2008, 2009), while we also indicate that iron is an essential factor for OM-cyt expression even under anaerobic conditions.

However, little is known about how different the mechanism and ph

However, little is known about how different the mechanism and physiological relevance of the GABAergic modulation of LTP induction are among different brain regions. We confirmed that the action of GABAA receptor antagonists on LTP was more prominent in the DG, and explored the mechanism introducing such difference by examining two types of GABAA receptor-mediated

inhibition, i.e. synaptic and tonic inhibition. FDA-approved Drug Library solubility dmso As synaptic inhibition, we compared inhibitory vs. excitatory monosynaptic responses and their summation during an LTP-inducing stimulus, and found that the balance of the summated postsynaptic currents was biased toward inhibition in the DG. As tonic inhibition, or sustained activation of extrasynaptic GABAA receptors by ambient GABA, we measured the change in holding currents of the

postsynaptic cells induced by GABAA receptor antagonists, and found that the tonic inhibition was significantly stronger in the DG. Furthermore, we found that tonic inhibition was associated with LTP modulation. Our results suggest that both the larger tonic inhibition and the larger inhibitory/excitatory summation balance during conditioning are involved in the stronger inhibitory modulation of LTP in the DG. “
“Astrocytes function as spatial K+ buffers by expressing a rich repertoire of K+ channels. Earlier studies suggest that acid-sensitive tandem-pore K+ channels, mainly TWIK-related acid-sensitive K+ (TASK) channels, mediate part of the passive Buparlisib solubility dmso astroglial membrane conductance. Here, using a combination of electrophysiology and pharmacology, we investigated the presence of TASK-like

conductance in hippocampal astrocytes of rat brain slices. Extracellular pH shifts to below 7.4 (or above 7.4) induced a prominent inward (or outward) current in astrocytes in the presence of tetrodotoxin, a Na+ channel blocker, and 4,4′-diisothiocyanatostilbene-2,2’-disulfonate, a co-transporter blocker. The pH-sensitive current was insensitive to quinine, a potent blocker of tandem-pore K+ channels including TWIK-1 and TREK-1 channels. cAMP Voltage-clamp analysis revealed that the pH-sensitive current exhibited weak outward rectification with a reversal potential of −112 mV, close to the Nernst equilibrium potential for K+. Furthermore, the current–voltage relationship was well fitted with the Goldman–Hodgkin–Katz current equation for the classical open-rectifier ‘leak’ K+ channel. The pH-sensitive K+ current was potentiated by TASK channel modulators such as the volatile anesthetic isoflurane but depressed by the local anesthetic bupivacaine. However, unlike TASK channels, the pH-sensitive current was insensitive to Ba2+ and quinine.

In 1995 (n = 191), significantly older children were referred to

In 1995 (n = 191), significantly older children were referred to specialized pediatric

dental care compared to 2008 (n = 179). In addition, a shift of surgical referrals to very young children with high caries levels was clearly noticed, resulting in considerably more oral rehabilitation performed under GA in 2008 (n = 73). Thus, the mean values of 6.4 fillings and 2.7 extractions per child were quite high. Preventive treatment approaches for primary dentition in Germany need further improvement by focusing on high caries-risk groups, as specialized pediatric dentistry bears the great burden of providing oral rehabilitations under GA in young children. “
“International Journal of Paediatric Dentistry 2012; 22: 435–441 Background.  Hydrophilic adhesives PLX4032 clinical trial may be used as pit and fissure sealants (sealants), but there is concern about the ability of self-etching GSK458 adhesives to bond sealants to enamel. Aim.  To study the bond strength (BS) and morphology of adhesive systems used as sealants. Design.  OptiBond FL, OptiBond All-in-One, combined OptiBond All-in-One + OptiBond FL adhesive, and Fluroshield were applied to the occlusal surfaces of 16 primary molars (n = 4). Teeth were stored in distilled water (24 h at 37°C) and sectioned through the interface to obtain sticks (0.8 mm2) tested under a tensile load (0.5 mm/min). Failure modes were observed. Data were analysed

by ANOVA and Tukey’s tests (α = 5%). The morphology of 12 primary molars was examined in terms of the etching pattern and resin reproduction. Results.  Differences in the BS were found (P = 0.001), with OptiBond FL showing the highest (36.84 ± 5.7 MPa), Fluroshield (24.26 ± 2.13 MPa) and OptiBond All-in-One (17.12 ± 4.97 MPa) similar, and OptiBond Fenbendazole All-in-One + OptiBond FL adhesive the lowest (9.8 ± 2.94 MPA). OptiBond FL showed the best results in terms of morphology. Conclusion.  Under the conditions of this study, OptiBond FL was the best material to be used for sealing. “
“International Journal of Paediatric Dentistry 2013; 23: 145–152 Background.  Alternatives to vital pulpotomy treatment in primary teeth are being sought because of the high formaldehyde

content of traditional formocresol (FC) pulpotomy medicaments. Aim.  The aim was to compare the clinical and radiographic success of vital pulpotomy treatment in primary molars using 3% sodium hypochlorite (NaOCl) versus a 1 : 5 dilution of Buckley’s FC. Design.  Pulpotomies were performed in primary molars of healthy children between 3 and 10 years old. Sixty-five primary teeth were randomized into two groups that were evaluated for treatment outcomes. Following treatment, the pulp chamber was filled with zinc oxide eugenol (ZnOE) and restored with a stainless steel crown cemented with glass ionomer cement. Clinical and radiographic outcomes were recorded at 6 and 12 months. Results.  The control (FC) and experimental (NaOCl) groups demonstrated 100% clinical success at 6 and 12 months.

The HIM study received ethics approval from the University of New

The HIM study received ethics approval from the University of New South Wales.

All participants underwent annual structured face-to-face interviews on topics including sexual relationships and practices. Quantitative sexual behaviour data on the number of episodes of unprotected FLT3 inhibitor insertive and receptive anal sexual intercourse for each participant, by partner’s HIV status, were collected. Questions on rectal microbicides were asked annually from 2006 onwards. There were two questions about rectal microbicides: whether the participant had heard of rectal microbicides, defined as gels or creams that can be applied to your anus to prevent HIV infection (‘yes’, ‘no’ or ‘don’t know’), and how likely they would be to participate in a trial to test the effectiveness of a rectal microbicide (‘very unlikely’, ‘unlikely’, ‘likely’, ‘very likely’ or ‘don’t know’). From 2004, each year participants were asked two questions about pre-exposure prophylaxis. First, they reported if they had been given PREP, defined MK0683 ic50 as ARV drugs not prescribed by a doctor, before having sex without a condom, to prevent HIV infection (‘yes’, ‘no’ or ‘unsure’). Secondly, from 2006 onwards, participants were asked how likely they

would be to participate in a trial to test the effectiveness of ARVs in preventing HIV infection (‘very unlikely’, ‘unlikely’, ‘likely’, ‘very likely’ or ‘don’t know’). As the timing of the ARV use was not specified, this second question potentially included trials of PREP and nonoccupational post-exposure prophylaxis (NPEP). Statistical analysis was performed using stata 10.0 (STATA Corporation, College Station, TX, USA). Descriptive analyses were used to assess awareness of rectal microbicides and willingness to participate in rectal microbicide trials or trials

using ARVs to prevent HIV infection. Participants potentially answered these questions at more than one annual interview. As questioning in a filipin previous year may have made the participant aware of rectal microbicides, only the first year’s responses on rectal microbicide awareness (in 2006 or 2007) were included. For willingness to participate in rectal microbicide trials or trials using ARVs to prevent HIV infection, the participants’ final year’s response was included, to capture their most recent thoughts about participation in trials. Variables considered as potential predictors of having heard of rectal microbicides and of willingness to participate in trials included: age, gay community involvement, hepatitis B virus (HBV) vaccination status, highest level of education, weekly income, and risk behaviour as measured by reported UAI in the past 6 months by partner type and HIV status. The association between these variables and awareness of rectal microbicides was analysed by unconditional univariate logistic regression. P-values for trend 0.05 were considered statistically significant.

It may be more frequent in HIV-positive patients and those with a

It may be more frequent in HIV-positive patients and those with active viral hepatitis (see ‘Hepatotoxicity’), although the data are conflicting. As there are no definitive data from developed countries on whether giving chemo-preventative therapy to patients with a positive IGRA will reduce the risk of developing TB, the available large cohort data from Europe were examined to provide a basis for a pragmatic clinical approach to this problem and to calculate

the risk of developing active TB [193,194]. The risk of developing active TB vs. the risk of developing hepatitis on isoniazid prophylaxis was then used as the counterpoint to decide whether chemo-preventative therapy should be offered or not. A similar exercise has see more been performed to help decide whether to give chemo-preventative therapy to patients starting anti-tumor necrosis factor therapy, where the risk of

developing TB is balanced against the risk of isoniazid-induced hepatitis. In an HIV-infected individual with a positive IGRA, the risk of developing active TB, and therefore the need for chemo-preventative therapy, are based on (see Table 9 and Flow Chart 1): region of origin; HIV-positive patients at increased risk fall selleck compound into the following groups for countries of origin: sub-Saharan Africa – if duration of current antiretroviral therapy is <2 years, whatever the current blood CD4 cell count; Patients should be offered screening with IGRA if (and only if) they are in one of these groups Enzalutamide supplier and would benefit from chemoprophylaxis [BII]. If the IGRA result is positive then we recommend the patient is given chemoprophylaxis. If the IGRA result is negative then no chemoprophylaxis is needed. If a patient is tested with an IGRA outside of these guidelines (not in one of the risk groups above), then no chemoprophylaxis is needed, even if the result is positive. These recommendations are based on extrapolation from

available data and further analyses are under way to refine this approach. If an IGRA test is indeterminate then we suggest repeating it and if still indeterminate the clinician should use clinical judgment regarding whether to give chemopreventative therapy or not. This Committee is aware that this new guidance will need local interpretation with regard to available resource, and that it should be subject to early audit. 2010 NICE guidance on IGRA testing suggests using IGRA testing in those patients with a CD4 count >200 cells/μL and both an IGRA and a tuberculin test in those with CD4 counts below this threshold. Although physicians can perform both tests in the severely immunosuppressed patients we believe that, as there are few data to support this strategy, doing this would add complexity, cost and difficulties in interpretation and we believe that an IGRA test alone would be sufficient at every CD4 cell count stratum. New data would be welcome in guiding physicians in this difficult area.

2) Many fluorescent bacteria were seen on the surface of the tom

2). Many fluorescent bacteria were seen on the surface of the tomont (1a–1b). The numbers of fluorescent bacteria gradually decreased on deeper sections of tomonts (1c–1d). No bacteria were observed in the middle section of tomonts (2a–2b) except on the margins. Then, the numbers of fluorescent bacteria gradually increased on the bottom surface of tomont (2c–2d) and reached high numbers of fluorescent bacteria at the bottom section MAPK inhibitor of tomont (3a-3b). The numbers of the bacteria decreased as the section passed completely through the tomont (3c–3d). Fish showed mortality 1 day postexposure to theronts.

Mortalities were 13.3%, 13.3%, and 23.4% for fish exposed to theronts only, theronts treated AZD1208 mouse with 5 × 105E. ictaluri mL−1, and theronts treated with 5 × 107E. ictaluri mL−1, respectively. At 2 days postexposure, fish cumulative mortalities were 36.7%, 40.0%, and 60.0% for fish exposed to theronts only, theronts treated with

5 × 105E. ictaluri mL−1, and theronts treated with 5 × 107E. ictaluri mL−1, respectively. Trophonts were detected in skin and gill of wet mounts from dead fish (Fig. 3a). Fluorescence microscopy demonstrated E. ictaluri on or near trophonts (Fig. 3b). Fifty percent, 70% and 40% of fish were positive for E. ictaluri by qPCR at 4 h, 1 day, and 2 days, respectively, postexposure to theronts treated with 5 × 105E. ictaluri mL−1 (Table 3). When fish were exposed to theronts treated with 5 × 107E. ictaluri mL−1, 100%, 90%, and 60% of fish were E. ictaluri positive at 4 h, 1 day, and 2 days, respectively. A correlation was noted between theront E. ictaluri exposure concentration and the numbers of fish positive for E. ictaluri (correlation coefficient = 0.68, P < 0.01). Fish exposed to theronts treated with 5 × 107 E. ictaluri mL−1 showed significantly higher GE in tissues (P < 0.05) than fish exposed to theronts treated with 5 × 105 E. ictaluri mL−1 (Table 3). The fish showed a 170.8, 95.3, and 77.2 GE mg−1 of tissues at 4 h, 1 day, and 2 days, respectively,

postexposure to theronts treated with 5 × 107 CFU E. ictaluri mL−1. No E. ictaluri was detected by not qPCR in fish exposed to theronts only (Table 3). Fish tissues were incubated in BHI for 24 h and then examined for E. ictaluri using florescence microscopy. Sixty percent, 90%, and 70% of fish exposed to theronts treated with 5 × 105E. ictaluri mL−1 showed fluorescent bacteria at 4 h, 1 day, and 2 days, respectively. Fish were 100%, 100%, and 90% positive for E. ictaluri at 4 h, 1 day, and 2 days, respectively, postexposure to theronts treated with 5 × 107E. ictaluri mL−1. There was a correlation between the E. ictaluri concentration that theronts were exposed to and the numbers of fish positive for E. ictaluri (correlation coefficient = 0.79, P < 0.01). No fluorescent bacteria were detected in fish exposed to theronts only (Table 4). There was a significant correlation between the numbers of fish positive for E.

Where these are not available, these tests should be repeated (II

Where these are not available, these tests should be repeated (III). Consideration Staurosporine datasheet of incident HIV antibody testing should be made in line with local surveillance arrangements when a recent infection is suspected (IIa). When an individual transfers their care to another centre, it is recommended that the referring centre supply a patient summary within 2 weeks of this being requested (IV). All patients should be encouraged to register with a GP and to consent to disclosure of HIV status to their GP (IV). With patient consent, regular summary letters (at least 12-monthly) should be sent from the HIV centre to

the GP detailing current status, CD4 T-cell count, HIV viral load and medications.

Important potential drug interactions should be highlighted (III). Where GPs are starting new medication for a patient on ART, potential drug interactions should be checked, http://www.selleckchem.com/products/fg-4592.html either through the British National Formulary (BNF), with a pharmacist or through the Liverpool Drug Interaction website (www.hiv-druginteractions.org). Ideally a treatment plan or medication list should be given to the patient or alternatively a letter detailing treatment should be sent to the HIV centre (III). The patient should be reviewed by an HIV clinician within at most 2 weeks of diagnosis, or earlier if the patient is symptomatic or has other acute needs ([1]; section 6.1.3). Taking a complete history gives the opportunity to assess the patient’s level of awareness about HIV infection and treatment, evaluate educational needs and determine the form that education and other support might take [2].

A full sexual history should also be taken at baseline [3]. The following elements of the baseline history should, where relevant, be reviewed at least annually: medication and recreational drug use; exercise; contraception, plans for conception Protein tyrosine phosphatase and cervical cytology; family history; social history including support network, employment, benefits and accommodation; sexual history (6-monthly); mood and cognitive function; patient expectations; vaccination history. Depression and anxiety are common among people living with HIV disease (see 8. Identifying the need for psychological support). Suggested screening questions for depression include: ‘During the last month, have you often been bothered by feeling down, depressed or hopeless?’ or ‘During the last month, have you often been bothered by having little interest or pleasure in doing things?’ [4]. Guidelines on the management of depression and anxiety have been published by the National Institute for Health and Clinical Excellence (NICE) [4, 5]. Clear pathways should be in place for further assessment when problems are identified and psychological support should be available.

TA1 However, the elution conditions varied The enzyme was first

TA1. However, the elution conditions varied. The enzyme was first eluted with a linear gradient of increasing Tris-HCl buffer concentration (0–0.4 M, total volume 1.0 L) in the DEAE-Sepharose FF column chromatography. Butyl-Sepharose and Resource Q column

chromatography were performed under the same conditions as for Micrococcus sp. TA1. Strain TA1 was isolated by enrichment cultivation in media containing ferulic acid as the sole carbon source under alkaline conditions. This strain could also utilize vanillin, vanillic acid, and protocatechuic acid (3,4-dihydroxybenzoic acid), protocatechualdehyde (3,4-dihydroxybenzaldehyde), and p-hydroxybenzaldehyde, and grew only under alkaline conditions and not under neutral conditions (Fig. 1). These Cyclopamine clinical trial results indicate that strain TA1 should be classified as an alkaliphile. To our knowledge, this is the first study

on the isolation of an alkaliphilic bacterium grown on the above compounds as the XL184 order sole carbon source. Strain TA1 was found to be a Gram-positive, aerobic organism that forms cocci about 1 μm in diameter, occurs in pairs or tetrads, forms a smooth yellow colony, and is positive for catalase, but negative for oxidase. The 16S rRNA gene sequence (accession number AB524880) showed that strain TA1 is closely related to Micrococcus luteus (96%) and Micrococcus lylae (96%), but does not produce any pigment. From the above results, it can be concluded that the alkaliphilic strain TA1 was Micrococcus

sp. TA1. VDH activities were measured in cell extracts of alkaliphilic strain TA1 and neutrophilic strain TM1 grown on various carbon sources. The activities were detected in cell extracts of both strains when grown on ferulic acid and vanillin at the same level, but not in that of glucose (data not shown). These results indicate that VDHs were inducible in both strains. Therefore, VDHs were purified from each strain grown on vanillin as summarized in Table 1. Purified enzymes from these strains migrated as a single band and their relative molecular masses were estimated VAV2 to be of the same value, i.e. 57 kDa by SDS-PAGE (Fig. 2a). However, the native molecular masses differed between the purified enzymes. Enzymes from alkaliphilic strain TA1 and neutrophilic strain TM1 were estimated to be 250 and 110 kDa, respectively, by gel filtration (Fig. 2b). Therefore, it was assumed that enzymes from strains TA1 and TM1 were tetramers and dimers, respectively, of identical subunits. In order to characterize these enzymes, the requirement of a cofactor as an electron acceptor for the expression of activity was investigated. It is interesting to note that VDH from strain TA1 used only NADP+ as an electron acceptor, but that from strain TM1 exhibited a higher activity with NAD+ than with NADP+; the relative activity with NADP+ was approximately 10%. The effect of addition of metal ions and other reagents on the enzyme activity was investigated.

Disrupting these cortico-collicular projections at any stage of l

Disrupting these cortico-collicular projections at any stage of life results in a pattern of outcomes similar to those found after dark-rearing; SC neurons respond to stimuli in both sensory modalities, AZD6244 but cannot integrate the information they provide. Thus, it

is possible that dark-rearing compromises the development of these descending tecto-petal connections and the essential influences they convey. However, the results of the present experiments, using cortical deactivation to assess the presence of cortico-collicular influences, demonstrate that dark-rearing does not prevent the association cortex from developing robust influences over SC multisensory responses. In fact, dark-rearing may increase their potency over that observed in normally-reared GSK458 datasheet animals. Nevertheless, their influences are still insufficient to support

SC multisensory integration. It appears that cross-modal experience shapes the cortical influence to selectively enhance responses to cross-modal stimulus combinations that are likely to be derived from the same event. In the absence of this experience, the cortex develops an indiscriminate excitatory influence over its multisensory SC target neurons. “
“Very few studies have investigated to what extent different subtypes of specific phobia share the same underlying functional neuroanatomy. This study aims to investigate the potential differences in the anatomy and dynamics of the blood oxygen level-dependent (BOLD) responses associated with spider and blood-injection-injury phobias. We used an event-related paradigm in 14 untreated spider phobics, 15 untreated blood-injection-injury phobics and 17 controls. Phobic images successfully induced distress only in phobic participants. Both phobic groups showed a similar pattern of heart rate increase following the presentation of phobic stimuli, this being different from controls. The presentation of phobic Tacrolimus (FK506) images induced activity within the same brain network in all

participants, although the intensity of brain responses was significantly higher in phobics. Only blood-injection-injury phobics showed greater activity in the ventral prefrontal cortex compared with controls. This phobia group also presented a lower activity peak in the left amygdala compared with spider phobics. Importantly, looking at the dynamics of BOLD responses, both phobia groups showed a quicker time-to-peak in the right amygdala than controls, but only spider phobics also differed from controls in this parameter within the left amygdala. Considering these and previous findings, both phobia subtypes show very similar responses regarding their immediate reaction to phobia-related images, but critical differences in their sustained responses to these stimuli.

Disrupting these cortico-collicular projections at any stage of l

Disrupting these cortico-collicular projections at any stage of life results in a pattern of outcomes similar to those found after dark-rearing; SC neurons respond to stimuli in both sensory modalities, ATM/ATR phosphorylation but cannot integrate the information they provide. Thus, it

is possible that dark-rearing compromises the development of these descending tecto-petal connections and the essential influences they convey. However, the results of the present experiments, using cortical deactivation to assess the presence of cortico-collicular influences, demonstrate that dark-rearing does not prevent the association cortex from developing robust influences over SC multisensory responses. In fact, dark-rearing may increase their potency over that observed in normally-reared LBH589 nmr animals. Nevertheless, their influences are still insufficient to support

SC multisensory integration. It appears that cross-modal experience shapes the cortical influence to selectively enhance responses to cross-modal stimulus combinations that are likely to be derived from the same event. In the absence of this experience, the cortex develops an indiscriminate excitatory influence over its multisensory SC target neurons. “
“Very few studies have investigated to what extent different subtypes of specific phobia share the same underlying functional neuroanatomy. This study aims to investigate the potential differences in the anatomy and dynamics of the blood oxygen level-dependent (BOLD) responses associated with spider and blood-injection-injury phobias. We used an event-related paradigm in 14 untreated spider phobics, 15 untreated blood-injection-injury phobics and 17 controls. Phobic images successfully induced distress only in phobic participants. Both phobic groups showed a similar pattern of heart rate increase following the presentation of phobic stimuli, this being different from controls. The presentation of phobic BCKDHA images induced activity within the same brain network in all

participants, although the intensity of brain responses was significantly higher in phobics. Only blood-injection-injury phobics showed greater activity in the ventral prefrontal cortex compared with controls. This phobia group also presented a lower activity peak in the left amygdala compared with spider phobics. Importantly, looking at the dynamics of BOLD responses, both phobia groups showed a quicker time-to-peak in the right amygdala than controls, but only spider phobics also differed from controls in this parameter within the left amygdala. Considering these and previous findings, both phobia subtypes show very similar responses regarding their immediate reaction to phobia-related images, but critical differences in their sustained responses to these stimuli.