01, 1 33) Conclusions Impaired calcium homeostasis has no consi

01, 1.33). Conclusions. Impaired calcium homeostasis has no consistent

association with mean IMT and TPA; however, increased serum 25(OH) D may predict subclinical atherosclerosis in nonsmokers.”
“Nitric oxide (NO) is a chemical messenger generated by the activity of the nitric oxide synthases (NOS). The NOS/NO system appears to be involved in oocyte maturation, but there are few studies on gene expression and protein activity in oocytes of cattle. The present study aimed to investigate gene expression and protein activity of NOS in immature and in vitro matured oocytes of cattle. The influence of pre-maturation culture with butyrolactone I in NOS gene expression was also assessed. The following experiments were performed: (1) CT99021 ic50 detection of the endothelial (eNOS) and inducible (iNOS) isoforms in the ovary by immunohistochemistry; PHA-739358 concentration (2) detection of eNOS and iNOS in the oocytes before and after in vitro maturation (W) by immunofluorescence; (3) eNOS and iNOS mRNA and protein in immature and in vitro matured oocytes, with or without pre-maturation, by real time PCR and Western blotting, respectively; and (4) NOS activity in immature and in vitro matured oocytes by NADPH-diaphorase. eNOS and iNOS were detected in oocytes within all follicle categories (primary, secondary and tertiary), and other

compartments of the ovary and in the cytoplasm of immature and in vitro matured oocytes. Amount of mRNA for both isoforms decreased after IVM but was maintained after pre-maturation culture. The NOS protein was detected in immature (pre-mature or

not) and was still detected in similar amount after pre-maturation and maturation for both isoforms. NOS activity was detected only in part of the immature oocytes. In conclusion, isoforms of NOS (eNOS and iNOS) are present in oocytes LY2090314 research buy of cattle from early folliculogenesis up to maturation; in vitro maturation influences amount of mRNA and NOS activity. (C) 2009 Elsevier B.V. All rights reserved.”
“The Massachusetts Virtual Epidemiologic Network (MAVEN) was deployed in 2006 by the Massachusetts Department of Public Health, Bureau of Infectious Disease to serve as an integrated, Web-based disease surveillance and case management system. MAVEN replaced program-specific, siloed databases, which were inaccessible to local public health and unable to integrate electronic reporting. Disease events are automatically created without human intervention when a case or laboratory report is received and triaged in real time to state and local public health personnel. Events move through workflows for initial notification, case investigation, and case management. Initial development was completed within 12 months and recent state regulations mandate the use of MAVEN by all 351 jurisdictions. More than 300 local boards of health are using MAVEN, there are approximately one million events, and 70 laboratories report electronically.

Not only variation in host resistance explains differences in the

Not only variation in host resistance explains differences in the effectiveness of the parasitic gland secretion but also interpopulational differences in its chemical composition, which were revealed by gas chromatography and mass spectrometry.”
“L-3,4-Dihydroxyphenylalanine (L-DOPA) is the most effective treatment for Parkinson’s disease, but chronic administration is complicated by the development of dyskinesia. We have previously demonstrated that the dopamine D-4 receptor antagonist L-745,870 reduces the severity of L-DOPA-induced dyskinesia in the 1-methyl4- phenyl-1,2,3,6-tetrahydropyridine (MPTP)-lesioned macaque without compromising

L-DOPA antiparkinsonian benefits. In the current study, we have addressed the effects of L-745,870 on the expression of L-DOPA-induced abnormal involuntary movements (AIMs) in the 6-hydroxydopamine-lesioned rat. Selleck SCH 900776 Rats were primed with repeated L-DOPA administration, after which acute challenges of L-DOPA/ L-745,870 (vehicle, 0.1, 0.3 and 1 mg/kg) were administered, and AIMs were assessed. Rotarod performance and AIMs were assessed. In L-DOPA-primed rats, L-745,870 (1 mg/kg, but not lower doses) alleviated previously established AIMs (by 84%, P smaller than 0.001). Whereas rotarod performance was significantly improved by L-DOPA/vehicle treatment, L-DOPA/

L-745,870 failed to improve rotarod performance (P bigger than 0.05), suggesting that, in contrast to the MPTP-lesioned macaque, L-745,870 reduces L-DOPA antiparkinsonian benefit in the rat model. Overall, these data suggest that L-745,870 selleck inhibitor may have a narrow therapeutic window as an antidyskinetic agent in advanced

Parkinson’s disease. Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.”
“BACKGROUND: Dexmedetomidine, because it has both sedative and analgesic properties, may be suitable for conscious sedation during painful procedures. Extracor-Poreal shockwave lithotripsy (ESWL) is a minimal to mildly painful procedure that requires conscious sedation. We thus evaluated the utility of dexmedetomidine GS-9973 compared with propofol during an ESWL procedure.\n\nMETHODS: Forty-six patients were randomly allocated into two groups to receive either dexmedetomidine or propofol for elective ESWL. Dexmedetomidine was infused at 6 mu g center dot kg(-1) center dot h(-1) for 10 min followed by an infusion rate of 0.2 mu g center dot kg(-1) center dot h(-1). Propofol was infused at 6 mg center dot kg(-1) center dot h(-1) for 10 min followed by an infusion of 2.4 mg center dot kg(-1) center dot h(-1). Fentanyl 1 mu g/kg IV was given to all patients 10 min before ESWL. Pain intensity was evaluated with a visual analog scale at 5-min intervals during ESWL (10-35 min). Sedation was determined using the Observer’s Assessment of Alertness/Sedation.

Although RUNX1 is not required for the maintenance of hematopoiet

Although RUNX1 is not required for the maintenance of hematopoietic stem cells, it is required for the homeostasis of hematopoietic this website stem and progenitor cells, and expansion of hematopoietic stem and progenitor cells due to RUNX1 deletion may be an important cause of human leukemias. Molecular abnormalities cooperating with loss of RUNX1 have also been identified. These findings may lead to a further understanding of human leukemias,

and suggest novel molecular targeted therapies in the near future.”
“OBJECTIVES: The purpose of this study was to evaluate the effect of alendronates on healing of extraction sockets and healing around implants in the maxilla of rats.\n\nMATERIALS AND METHODS: Twenty-four Sprague-Dawley rats were used. The rats in bisphosphonate group were subcutaneously injected with alendronate (5.0 mg kg(-1)) three times a week for 4 weeks. Both sides of the maxillary first molars were extracted, and customized titanium implants (empty set1.5 x 2.0 mm) were placed immediately into one side. Rats were killed at 3, 7, 14, or 28 days following surgery.\n\nRESULTS: New bone formation in extraction sockets, bone area around the implant site, and bone-implant contact were not delayed

in Taselisib the bisphosphonate group. The tartrate-resistant acid phosphatase positive cell count did not differ between bisphosphonate and control groups; however, empty lacunae were observed significantly more in bisphosphonate group. The differences in empty lacunae were shown at different time

points between the implant sites and extraction sites: at 7 days after extraction, and at 14 and 28 days after implantation.\n\nCONCLUSIONS: Alendronates seemed to decrease bone resorption but not to decrease bone formation. Empty lacunae were observed significantly more at later time points in implant sites compared to extraction sockets. Oral Diseases (2011) 17, 705-711″
“A right-sided IPI-145 in vitro aortic arch with an aneurysm of the aberrant subclavian artery is a rare disease. We report a case of Kommerell’s diverticulum of an aberrant left subclavian artery in a patient with a right-sided aortic arch. Fewer than 50 cases have been reported in the literature. A number of operative strategies are described. Right thoracotomy provides good exposure and avoids the morbidity associated with bilateral thoracotomy or sternotomy and thoracotomy. In our patient with symptoms of dysphagia, syncope, and left subclavian steal syndrome, a left thoracotomy was used. The repair was accomplished by division of a left ligamentum arteriosum, obliteration of the Kommerell’s aneurysm, and an aorto-subclavian bypass. Postoperative complications included left vocal cord palsy and Horner’s syndrome. Hoarseness and left ptosis recovered spontaneously 3 months after surgery, and the patient remained symptom-free at the 1-year follow-up. We believe a left thoracotomy for direct repair of Kommerell’s diverticulum is a simple and safe method without the increased morbidity found in other procedures.

These pose limitations to accurate the hepatic tumor

These pose limitations to accurate the hepatic tumor FK228 segmentation. We propose a level set model incorporating likelihood energy with the edge energy.

The minimization of the likelihood energy approximates the density distribution of the target and the multimodal density distribution of the background that can have multiple regions. In the edge energy formulation, our edge detector preserves the ramp associated with the edges for weak boundaries. We compared our approach to the Chan-Vese and the geodesic level set models and the manual segmentation performed by clinical experts. The Chan-Vese model was not successful in segmenting hepatic tumors and our model outperformed the geodesic level set model. Our results on 18 clinical datasets showed that our algorithm had a Jaccard distance error of 14.4 +/- 5.3%, relative volume difference of -8.1 +/- 2.1%, average surface distance of 2.4 +/- 0.8 mm, RMS surface distance of 2.9 +/- 0.7 mm, and the maximum surface distance of 7.2 +/- 3.1 mm.”
“Lactoferrin (LF) is approximately 80kDa iron-binding protein, which is important part of saliva and other body fluids. Due to its Fosbretabulin supplier ability to bind metal ions, it has many biologically

important functions. In this study, a method for the isolation of LF from a biological sample using robotically prepared antibody-modified paramagnetic particles was developed using robotic pipetting station. The method consisted of the following optimised steps. ProteinG was bound on the paramagnetic particles, on which goat antibody (10g) was linked. LF was subsequently added to microtitration plate, which had affinity to goat antibody and the interaction this website lasted for 30min. We found that the highest signals were obtained using the combination of goat antibody 1:3000, murine antibody 1:5000 and conjugate 1:1500. Horseradish

peroxidase reducing 3,3,5,5-tetramethylbenzidine (TMB) was linked to the merged complex. The resulted product of this reaction was subsequently analysed spectrometrically with detection limit (3 S/N) as 5 ng/mL. In addition, we also determined TMB by stopped flow injection analysis with electrochemical detection. The limit of detection (3 S/N) was estimated as 0.1g/mL. To compare spectrometric and electrochemical approach for detection of TMB, calibration range of bead-LF-antibodies complex was prepared and was determined using a least-squares correlation with coefficient R-2 higher than 0.95, indicating a very good agreement of the results obtained.”
“Endovascular management of critical limb ischemia has advanced significantly in the recent past, especially the ability to treat tibial artery lesions with reasonable results. The indications, results, and technical aspects or endovascular management of CLI is reviewed herein. An algorithm for clinical management of CLI in patients with tibial occlusive disease is also presented.

(C) 2010 Wiley Periodicals, Inc “
“Background: Plasma angiop

(C) 2010 Wiley Periodicals, Inc.”
“Background: Plasma angiopoietin (Ang)-2 is associated with disease severity and mortality in adults and children with falciparum malaria. However the mechanism of action of the angiopoietins in Target Selective Inhibitor Library cell assay fatal malaria is unclear. This study aimed to determine whether the expression of Ang-1 and Ang-2 and their receptor Tie-2 in cerebral endothelial or parenchymal cells was specific to cerebral malaria (CM), correlated with coma or other severe clinical features, and whether plasma and CSF levels of these markers correlated with the clinical and neuropathological features of severe and fatal malaria

in Vietnamese adults.\n\nMethods: Immunohistochemistry was performed for Ang-1, Ang-2 and Tie-2 on post-mortem brain tissue from fatal malaria cases and controls. Quantitative ELISA for plasma and cerebrospinal fluid levels of Ang-1, Ang-2 and Tie-2 was done to compare fatal cases with surviving patients from the same study.\n\nResults: Immunohistochemistry revealed significant differences in expression in endothelial and parenchymal cells compared to controls. However there was no significant difference in expression of these markers on endothelial cells, astroglial cells or neurons between CM and non-cerebral malaria cases. Immunostaining of Ang-1, Ang-2 and Tie-2 was

also not associated with Plasmodium falciparum-infected erythrocyte sequestration in the brain. However Ang-1 and Ang-2 expression in neurons was significantly correlated with the CX-6258 incidence of microscopic haemorrhages. Plasma levels of Ang-2 and Ang-2/Ang-1 ratio were associated with the number of severe malaria complications and were significant and independent predictors of metabolic acidosis and fatal outcome.\n\nConclusions: The independent prognostic significance of Ang-2 and the Ang-2/Ang-1 ratio in severe malaria was confirmed, although immunohistochemistry in fatal cases did not reveal increased expression on brain endothelium in cerebral versus non-cerebral cases. Activation of the click here Ang-Tie-2 pathway in severe malaria is therefore related to acidosis, number of severity criteria

and outcome, but is not a specific event in the brain during cerebral malaria.”
“OBJECTIVE: The role of Doppler ultrasonography in the diagnosis of diffuse thyroid diseases is not well established. In particular, Doppler ultrasonography findings in children with Hashimoto’s thyroiditis are very limited. We examined gray-scale and Doppler ultrasound findings in Hashimoto’s thyroiditis in children in an attempt to understand the feasibility of future prospective controlled studies.\n\nMATERIALS AND METHODS: Twenty-one children with newly diagnosed Hashimoto’s thyroiditis were recruited in the study. The patients were euthyroid or had subclinical hypothyroidism at the time of the ultrasonography examination. According to the color Doppler scale developed by Schulz et al.

Metallic Pd coexisted with Pd in oxidation state +2 and higher on

Metallic Pd coexisted with Pd in oxidation state +2 and higher on all fresh samples. TEM confirmed the presence of dispersed Pd particles 2-5 nm in diameter. Therefore, under the chosen synthesis conditions, FSS provides supported palladium nano-particles rather than a solid solution. PdO was the dominant Pd CAL-101 species after calcination at 700 degrees C. The TWC activity was tested in a simulated stoichiometric gas mixture comprising CH4, CO, NOx,

and O-2. PdO in combination with YFeO3 +/-delta exhibited the lowest temperature for CH4 oxidation (T-50 = 450 degrees C), which was ca. 100 degrees C lower than that of the sample obtained by the conventional wet-chemical method. After cycling under reaction conditions up to 850 degrees C, a large improvement of catalytic activity for CH4 oxidation was observed which associated with the formation of

metallic Pd particles (ca. 20 nm) and the hexagonal -> orthorhombic phase transition of YFeO3 +/-delta. (C) 2013 Elsevier B.V. All rights reserved.”
“The difficulty in clarifying species of genus Ligularia Cass. has been attributed to rapid and continuous allopatric speciation in small and isolated populations, combined buy XMU-MP-1 with interspecific diploid hybridization in the Qinghai-Tibetan Plateau and adjacent areas. However, no concrete example LY3023414 mw has been reported to prove this hypothesis. We studied a natural mixed population of six species of Ligularia in which some individuals were morphologically intermediate between L. subspicata and L. nelumbifolia. Based on DNA sequences (trnC-F, trnL-rpL32, trnQ-5′ rps16, trnK-rps16, and internal transcribed spacer) and inter-simple sequence repeat data, we concluded that putative hybrids are primarily products of hybridization between L. nelumbifolia and L. subspicata.

The other four species or additional, unknown species may also be involved in hybridization. This hybridization is bidirectional but asymmetrical. Hybrid individuals were mostly the first generation, but F-2 and later-generation hybrids were also present. Moreover, the backcrossed individuals detected indicate that natural gene flow occurs among at least three Ligularia species. Hybrids may become stabilized to form new species or may function as intermediates in evolutionary diversification.”
“Lettuce (L. saliva L. ‘Jianye Xianfeng No. 1′) seeds can exhibit both photodormancy and thermodormancy (thermoinhibition); however, the mechanism for thermoinhibition of seed germination is poorly understood.

Setting: Participants were recruited from stroke support groups a

Setting: Participants were recruited from stroke support groups and community rehabilitation PD0332991 mw services in a large UK city. Subjects: Seventeen

community-dwelling stroke survivors who had completed their rehabilitation within the previous year and six care-givers. Results: Five themes emerged: understanding the purpose of the assessment; repetition of assessments; feedback about assessments and progress; format of feedback and barriers to feedback. While all participants reported undergoing assessment, some felt their purpose was not always explained and resented unexplained repetitions of tests. Some participants reported a positive experience, but most wanted more information about their progress and predictions of recovery. They wanted regular, consistent, objective information presented in layman’s terms; verbally and in writing. Some carers reported difficulty accessing information particularly as a result of confidentiality policies. While some participants accepted these short-comings, others considered them due to staff’s disinterest or ineptitude, which undermined their trust in the team. Conclusions: Stroke service users require clear information about the purpose of assessments and regular, consistent,

PR 171 objective feedback about their progress using layman’s language both verbally and in writing.”
“The aim of this study is to assess the prevalence and predictors of depressive symptoms in women with polycystic ovary syndrome (PCOS). In a cross-sectional

study of 114 women seeking consultation for symptoms of PCOS (menstrual irregularity, hirsutism, and/or acne), personal and family history of depression (HD and FHD respectively) were enquired. Vitamin D status (n = 104) and manifest depressive symptoms assessed by personal health questionnaire (PHQ) (MD) were evaluated in a subset (85). Relationships between HD and MD with PCOS symptoms, FHD, and vitamin D status were assessed using adjusted analyses. Thirty-five percent acknowledged a HD; MD (PHQ bigger than 4) was apparent in 43 %. HD was associated with hirsutism (OR 2.4, 95 % CI 1.01-5.9), disturbed sleep (OR 3.0, 95 % CI 1.3-6.9), and with FHD (OR 4.8, 95 % CI 1.7-13.5). Disturbed sleep (OR 2.4, 95 % CI 1.01-5.7) and FHD (OR 3.8, 95 % CI 1.3-11.2) MGCD0103 clinical trial were independent predictors of HD adjusting for race and BMI. An inverse correlation was noted between serum 25 OH vitamin D (25OHD) levels and PHQ score, but only in those with vitamin D deficiency (25OHD a parts per thousand currency signaEuro parts per thousand 30 ng/ml, n = 57, r =-0.32, p = 0.015). 25OHD smaller than 20 ng/ml (OR 3.5, 95 % CI 1.1-11.8) and HD (OR 12.8, 95 % CI 3.6-45.2) predicted scoring in the highest PHQ tertile after adjusting for hirsutism, BMI, and race. In women with PCOS, disturbed nocturnal sleep and FDH predicted personal HD, whereas HD and vitamin D deficiency related to the severity of MD symptoms.

A significant variability between the different universities was

A significant variability between the different universities was observed regarding both the teaching subjects and the distribution of credits among the different courses. The results of this survey highlight that a greater uniformity in the distribution of credits and a better balance among teaching sectors might be advisable. (C) 2008 Published by Elsevier B.V.”
“Background Roughly 3 million people worldwide were receiving antiretroviral therapy (ART) at the end of 2007, but an

estimated 6.7 million were still in need of treatment and a further 2.7 million became infected with HIV in 2007. Prevention efforts might reduce HIV incidence but are unlikely to eliminate this disease. We investigated a theoretical strategy of universal voluntary HIV testing and immediate treatment with ART, and examined the conditions under which the click here HIV epidemic could be driven towards elimination.\n\nMethods We used mathematical models to explore the effect on the case reproduction number (stochastic model) and long-term dynamics of

the HIV epidemic (deterministic transmission model) of testing all people in our test-case community (aged 15 years and older) for HIV every year and starting people on ART immediately after they are diagnosed HIV positive. We used data from South Africa as the test case for a generalised epidemic, and assumed that all HIV transmission was heterosexual.\n\nFindings The studied strategy could greatly accelerate the transition from the present endemic phase, in which most adults living with HIV are not receiving ART, HER2 inhibitor to an elimination phase, in which most are on ART, within 5 years. it could reduce HIV incidence and mortality to less than one case per 1000 people per year by 2016, or within 10 years of full implementation of the strategy, and reduce the prevalence of HIV to less than 1% within 50 years. We estimate that in 2032, the yearly cost of

the present strategy and the theoretical strategy would both be US$1.7 billion; however, after this time, the cost of the present strategy would continue to increase whereas that of the theoretical strategy would decrease.\n\nInterpretation BI 2536 purchase Universal voluntary HIV testing and immediate ART, combined with present prevention approaches, could have a major effect on severe genralised HIV/AIDS epidemics. This approach merits further mathematical modelling, research, and broad consultation.\n\nFunding None.”
“Spitz nevi are melanocytic proliferations that are characterized by spindled and/or epithelioid nevomelanocytes. First interpreted as juvenile melanoma, these lesions were later characterized as benign and were observed to affect all age groups. Today, contrasting opinions persist regarding the fundamental benignancy versus malignancy within the spectrum of Spitz tumors.

Both mice lack B and T cell functions

Both mice lack B and T cell functions PXD101 research buy due to the absence of rag2. Results: Primary tumors developed in 16/16 in pfp/rag2 and 20/20 rag2 mice. At sacrifice primary tumor weight did not differ significantly. However, tumors grew faster in pfp/rag2 mice (50 days) than in pfp/rag2 mice (70 days). Circulating tumor cells (CTC) in murine blood were

nearly three times higher in pfp/rag2 (68 cells/ml) than in rag2 mice (24 cells/ml). Lung metastases occurred frequently in pfp/rag2 mice (13/16) and infrequently in rag2 mice (5/20). The mean number of metastases was 789 in pfp/rag2 mice compared to 210 in rag2 mice. Lung metastases in pfp/rag2 mice consisted of 10-100 tumor cells while those in rag2 mice were generally disseminated tumor cells (DTCs). Computer modelling showed that perforin-dependent killing of NK cells decelerates the growth of the primary tumour and kills 80% of CTCs. Furthermore, perforin-mediated cytotoxicity hampers the proliferation of the malignant cells in host tissue forcing them to stay dormant for at least 30 days. Conclusion: The results exactly quantified the effect of perforin-dependent direct cytotoxicity of NK cells on HT29 on primary tumor growth, number of CTCs in the blood and the number of metastases. The largest effects

were seen in the number of mice developing spontaneous buy Bioactive Compound Library lung metastases and the mean number of lung metastases. Hence, perforin-mediated cytotoxicity used for direct killing by NK cells is more important than indirect killing by secretion of death-inducing

ligands by NK cells.”
“Hexavalent chromium is a human carcinogen activated primarily by direct reduction with cellular ascorbate HIF inhibitor and to a lesser extent, by glutathione. Cr(III), the final product of Cr(VI) reduction, forms six bonds allowing intermolecular cross-linking. In this work, we investigated the ability of Cr(VI) to cause interstrand DNA cross-links (ICLs) whose formation mechanisms and presence in human cells are currently uncertain. We found that in vitro reduction of Cr(VI) with glutathione showed a sublinear production of ICLs, the yield of which was less than 1% of total Cr-DNA adducts at the optimal conditions. Formation of ICLs in fast ascorbate-Cr(VI) reactions occurred during a short reduction interval and displayed a linear dose dependence with the average yield of 1.3% of total adducts. In vitro production of ICLs was strongly suppressed by increasing buffer molarity, indicating inhibitory effects of ligand-Cr(III) binding on the formation of cross-linking species. The presence of ICLs in human cells was assessed from the impact of ICL repair deficiencies on Cr(VI) responses.

Human arrival and subsequent habitat alterations (introduction of

Human arrival and subsequent habitat alterations (introduction of alien taxa, burning, etc.) are the most probable causes of its extinction. The same species or a close relative is documented from dunes on the island of Porto Santo, but the quality of preservation of its bones precludes more certain identification.”
“Patient safety is currently a critical focus within obstetrics. Standardization of intrapartum management, in particular with regard to fetal heart rate monitoring assessment and management, is an important effort to improve obstetrical adverse outcomes. This study explores various strategies to implement standardization of assessment and management. Such measures can

impact significantly perinatal outcomes and safety culture. Investigation

this website of the impact of standardizing intrapartum management remains an important area of further study.”
“Psychosocial need implies a desire or requirement for support that underlies INCB024360 purchase a person’s psychological, social and emotional wellbeing. This is not a new concept in the wider cancer literature, yet remains a relatively unexplored area in relation to haematological malignancies. The well-recognised differences between haematological and other types of cancer diagnosis warrant further investigation to try and highlight the potential differences in the needs of this patient group. A systematic review of key online databases and psycho-oncology journals was conducted to identify papers that formally assessed unmet psychosocial needs in adults with a diagnosis of haematological Protein Tyrosine Kinase inhibitor cancer. The breadth of methodologies of included studies made a meta-analytical approach unfeasible, therefore studies were analysed using a narrative synthesis approach. Eighteen studies were found to be relevant and a specific focus was placed on those papers that looked solely at participants

with a haematological diagnosis. The key areas of need identified were: psychological need, notably fear of recurrence; information needs; and needs relating to both family and healthcare professionals. Fear of recurrence was the most commonly identified psychosocial need within this literature. The clinical implications of these findings highlight the need for more widespread access to psychological support for haematology patients and for more to be done to tackle patients’ fears and concerns throughout the course of their illness. Assessment and identification of unmet needs is an important step enabling the development of clinical services that support and maintain psychological wellbeing through treatment and into survivorship.”
“Theory predicts that sperm competition will generate sexual conflict that favours increased ovum defences against polyspermy. A recent study on house mice has shown that ovum resistance to fertilization coevolves in response to increased sperm fertilizing capacity.