“Recent density functional theory calculations by Chen et


“Recent density functional theory calculations by Chen et al. [J. Appl. Phys. 103, 123519 (2008)] revealed that vacancies (V) tend to accumulate around germanium (Ge) atoms in Ge-doped silicon (Si) to form GeV(n) clusters. In the present study, we employ similar electronic structure calculations to predict the binding energies of GeV(n) and V(n) clusters containing up to four V. It is verified that V are strongly attracted to pre-existing GeV(n)

clusters. Nevertheless, by comparing with the stability of V(n) clusters, we predict that the Ge contribution to the binding energy of the GeV(n) clusters is limited. We use mass action analysis to quantify the relative

concentrations of GeV(n) and Vn clusters over a wide temperature range: V(n) clusters dominate in Ge-doped Si under Selleckchem MK-8776 realistic conditions. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3056387]“
“Background: The Thai ALK inhibitor Bipolar Disorder Registry was a prospective, multisite, naturalistic study conducted in 24 hospitals across Thailand. This study aimed to examine the correlates of current suicide risk in Thai patients with bipolar I disorder.

Methods: Participants were adult inpatients or outpatients with bipolar disorder, based on the Diagnosis and Statistical Manual of Mental Disorders, fourth edition. All were assessed by using the Mini International Neuropsychiatric Interview (MINI), version 5. The severity of current suicide risk was determined by using the total score of the MINI suicidality module. Mood symptoms were assessed by using the Young Mania Rating Scale and the

Montgomery Asberg Depression Rating Scale.

Results: The data of 383 bipolar I disorder patients were included in the analyses. Of these, 363 (94.8%) were outpatients. The mean (standard deviation) of the MINI suicide risk score was 1.88 (5.0). The demographic/clinical variables significantly associated with the MINI suicide risk scores included ABT-263 molecular weight age, number of overall previous episodes, the Young Mania Rating Scale score, the Montgomery Asberg Depression Rating Scale scores, and the Clinical Global Impression Severity of Illness Scale for Bipolar Disorder mania score, depression score, and overall score. The variables affecting the differences of suicide risk scores between or among groups were type of first mood episode, a history of rapid cycling, anxiety disorders, and alcohol use disorders. The stepwise multiple linear regression model revealed that the Montgomery Asberg Depression Rating Scale score (beta=0.10), a history of rapid cycling (beta=6.63), anxiety disorders (beta=2.16), and alcohol use disorders (beta=2.65) were significantly correlated with the suicide risk score (all P<0.01).

(c) 2011 American Institute of Physics [doi:10 1063/1 3549131]“<

(c) 2011 American Institute of Physics. [doi:10.1063/1.3549131]“
“The addition of folic

acid to the US food supply, along with the critical role of folate in certain health outcomes, has intensified worldwide interest in the bioavailability of folate. Bioavailability is a function of absorptive and postabsorptive processes, which in turn are influenced by diet, individuality, and complex diet-host interactions. As such, it is unlikely that a single bioavailability figure will accurately reflect food folate bioavailability from every diet for every person. Although there is broad agreement that naturally occurring food folate is not as bioavailable as folic acid, questions remain as to the extent of these differences, particularly within the context of a whole diet.

This article 1) summarizes and integrates bioavailability Sonidegib estimates derived from studies that use whole-diet approaches; 2) highlights the influences of genetics, ethnicity-race, and sex as postabsorptive bioavailability modifiers; and 3) discusses the adequacy of the US folate Recommended Dietary Allowance in achieving folate sufficiency in select subpopulations. Am J Clin Nutr 2010;91(suppl):1455S-60S.”
“The up-conversion (UC) photoluminescence and ferroelectric properties of signaling pathway Bi4-xErxTi3O12 (BErT) thin films were studied in terms of annealing temperature and Er3+ doping concentration. The thin films were prepared by chemical solution deposition method. There are two green emission bands centered at 527 and 548 nm, and a red emission band centered at 663 nm in UC luminescence spectra measured p38 MAPK inhibitor review under a 980 nm laser excitation at room temperature, which correspond to the radiative transitions from H-2(11/2), S-4(3/2), and F-4(9/2) to I-4(15/2), respectively. The quenching concentration of Er3+ ions for green emission was as high as 20 mol % for Bi3.2Er0.8Ti3O12

thin films. The large Er3+ quenching concentration and efficient energy transfer between two neighboring Er3+ ions result in the improved UC emission. The dependence of UC emission intensity on pumping power indicated a two-photon UC emission process in the thin films. The combination of UC emission and ferroelectricity was realized in the capacitors of Pt/Bi3.25Er0.75Ti3O12/Pt/TiO2/SiO2/Si. The UC photoluminescent BErT ferroelectric thin films could be potentially applied to integrated optoelectronic devices. (C) 2011 American Institute of Physics. [doi: 10.1063/1.3549836]“
“Iron differs from other minerals because iron balance in the human body is regulated by absorption only because there is no physiologic mechanism for excretion. On the basis of intake data and isotope studies, iron bioavailability has been estimated to be in the range of 14-18% for mixed diets and 5-12% for vegetarian diets in subjects with no iron stores, and these values have been used to generate dietary reference values for all population groups.

Journal of Human

Hypertension (2011) 25, 25-31; doi:10 10

Journal of Human

Hypertension (2011) 25, 25-31; doi:10.1038/jhh.2010.25; published online 18 March 2010″
“The electron mobility limited by spacer layer thickness fluctuation (SLTF) scattering on the two-dimensional electron selleck chemicals llc gas in AlGaAs/GaAs modulation-doped heterostructure is investigated. Although the SLTF scattering and the interface roughness scattering are both induced by the roughness of the AlGaAs/GaAs interface, they are two different scattering mechanisms. The interface roughness will lead to the fluctuation of the distance from the electrons to the ideal interface and the fluctuation of the spacer layer thickness. The former induces the fluctuation of the electron potential, which works as the interface roughness scattering potential. The latter induces the fluctuation of the sheet carrier density in the channel, which causes a fluctuation in the quantization www.selleckchem.com/products/S31-201.html energy level. The quantization energy level fluctuation works as the SLTF scattering potential. Compared with the interface roughness scattering,

the results reveal that the SLTF scattering becomes the dominant scattering mechanism when the doping density in the AlGaAs is high enough. (C) 2011 American Institute of Physics. [doi:10.1063/1.3608242]“
“Conventional chemotherapy is the elective and most effective strategy for tumor treatment. Several studies have demonstrated that a mechanism through which most chemotherapeutic agents kill tumor cells is to trigger their death through the generation of ceramide via the activation of enzymes responsible either for its de novo synthesis or for the degradation of sphingomyelin. Ceramide-induced cell death has been widely investigated, with a particular focus on apoptosis. Moreover, recently, the role of ceramide in the induction of autophagy has come to light, opening new questions

on how sphingolipid messengers can act in these different but linked pathways. Cellular stress can indeed promote autophagy and apoptosis in multiple ways, including their induction sequentially, simultaneously, or in a mutually exclusive manner. This review presents some of the recent advances regarding the role of ceramide in the induction of apoptosis/autophagy, focusing on its modulation as a strategy for an effective see more cancer therapy.”
“The aim of this retrospective study in primary health care was to study gender differences in blood pressure levels in response to treatment of new onset hypertension. Gender difference in blood pressure control and pharmacological treatment was also recorded. A total of 334 women and 332 men aged >= 50 years and < 80 years at baseline, with blood pressure >= w140mm Hg systolic and/or >= 90mm Hg were included. Men were younger, had a higher frequency of type II diabetes mellitus and a higher body mass index compared with women at baseline.

The Patient Safety Committee of the American Academy of Orthopaed

The Patient Safety Committee of the American Academy of Orthopaedic Surgeons has compiled the results of a member survey to identify trends in orthopaedic errors that would help to direct quality assurance efforts.

Methods: Surveys were sent to 5540 Academy fellows, and 917 were returned (a response rate of 16.6%), with 53% (483) reporting an observed medical error in the previous six months.

Results: A general classification of errors showed equipment (29%) and communication (24.7%) errors with the highest frequency. Medication errors (9.7%) and wrong-site surgery (5.6%)

represented serious potential patient harm. Two deaths were reported, and both involved narcotic administration errors. By location, 78% of errors occurred in the hospital (54% in the surgery suite Selleck Quisinostat and 10% in the patient room or floor). The reporting orthopaedic surgeon was involved in 60% of the errors; a nurse, in 37%; another orthopaedic surgeon, in 19%; other physicians, in 16%; and house staff, in 13%.

Wrong-site surgeries involved the wrong side (59%); another wrong site, e.g., the wrong digit on the correct side (23%); the wrong procedure (14%); or the wrong patient (5% of the time). The most frequent anatomic locations were the knee and the fingers and/or hand (35% for each), Selleck LY3023414 the foot and/or ankle (15%), followed by the distal end of the femur (10%) and the spine (5%).

Conclusions: Medical errors continue to occur and therefore represent a threat to patient safety. Quality assurance efforts and more refined research can be addressed toward areas with higher error Quizartinib occurrence (equipment and communication) and high risk (medication and wrong-site surgery).”
“Introduction. Respiratory syncytial virus (RSV) is a frequent cause of respiratory tract infectious disease (RTID) in allogeneic hematopoietic stem cell transplant (HSCT) recipients associated with a high mortality once infection has progressed from upper RTID (URTID) to lower RTID (URTID). Aerosolized ribavirin

(RBV) is considered a cornerstone of treatment, but is expensive and has toxic side effects on patients and staff. In this study, RSV infection was detected by polymerase chain reaction (PCR) from routinely collected throat swabs in HSCT patients. Infected individuals were treated according to an institutional protocol using intravenous (IV) RBV for patients with LRTID and oral ribavirin for URTID.

Results. RSV infection was diagnosed in 10 patients (median age 60 years) a median of 15 days after allogeneic HSCT for high-risk acute myeloid leukemia. Five patients with LRTID received IV RBV within 7 days after HSCT, and 5 with URTID were treated with oral RBV 12-40 days after HSCT. One patient died of septic shock associated with Pseudomonas aeruginosa-induced pneumonia 28 days after HSCT in prolonged neutropenia.

The grades in patients with dural AVF determined with hybrid CT a

The grades in patients with dural AVF determined with hybrid CT angiography and digital subtraction angiography (DSA) were compared, and hybrid CT angiography was applied as a tool for Selleck EX 527 planning endovascular treatment. The adjusted Wald method was used to estimate confidence intervals (CIs), and the Cohen kappa statistic was

used to assess interobserver agreement.

Results: Hybrid CT angiography in the 24 dural AVFs revealed asymmetric sinus enhancement in 22 lesions (92%), engorged arteries in 19 (79%), transosseous enhanced vessels in 19 (79%), engorged extracranial veins in 13 (54%), engorged cortical veins in seven (29%), and sinus thrombosis in four (17%). In all 24 lesions, at least two of six imaging signs for diagnosis of dural AVFs were present. The kappa GANT61 cost test analysis revealed a high level of interobserver agreement (kappa, 0.56-1.00) in reading the diagnostic imaging signs. The observed agreement between DSA and readers was 100% in the cavernous sinus region and in hypoglossal and clival lesions and 78%-89% in the transverse sigmoid sinus. The overall sensitivity, specificity, positive predictive value, and negative predictive value were 0.93 (95% CI: 0.85, 0.97), 0.98 (95% CI: 0.93,

1.00), 0.97 (95% CI: 0.90, 0.99), and 0.95 (95% CI: 0.90, 0.98), respectively.

Conclusion: Hybrid CT angiography is a promising tool for the diagnosis of dural AVF. It can provide key information necessary for treatment planning.”
“P>The shade avoidance syndrome (SAS) refers to a set of plant responses aimed at anticipating eventual shading Epigenetics inhibitor by potential competitors. The SAS is initiated after perception of nearby vegetation as a reduction in the red to far-red ratio (R:FR) of the incoming light. Low R:FR light is perceived by the phytochromes, triggering dramatic changes in gene expression that, in seedlings, eventually result in an increased hypocotyl elongation to overgrow competitors. This response is inhibited by genes such as PHYTOCHROME RAPIDLY REGULATED 1

(PAR1), PAR2 and LONG HYPOCOTYL IN FR 1 (HFR1), which are transcriptionally induced by low R:FR. Although PAR1/PAR2 and HFR1 proteins belong to different groups of basic helix-loop-helix (bHLH) transcriptional regulators, they all lack a typical basic domain required for binding to E-box and G-box motifs in the promoter of target genes. By overexpressing derivatives of PAR1 and HFR1 we show that these proteins are actually transcriptional cofactors that do not need to bind DNA to directly regulate transcription. We conclude that protein-protein interactions involving the HLH domain of PAR1 and HFR1 are a fundamental aspect of the mechanism by which these proteins regulate gene expression, most likely through interaction with true transcription factors that do bind to the target genes and eventually unleash the observed SAS responses.

Results: There was an association between intake of artificially

Results: There was an association between intake of artificially sweetened carbonated an”
“A novel PQAS-containing antibacterial glass-ionomer cement has been developed. The functional QAS and their constructed PQAS were

synthesized, characterized, and formulated into the light-cured cements. Compressive strength (CS) and bacterial (S. mutans and lactobacillus) viability were used to evaluate the mechanical strength and antibacterial activity of the cements. BAY 57-1293 research buy Flexural (FS) and diametral tensile strengths (DTS) were tested as well. Fuji II LC cement was used as control. The specimens were conditioned in distilled water at 37 degrees C for 24 h prior to testing. All the PQAS-containing cements showed a significant antibacterial activity, accompanying with an initial CS reduction. The effects of chain length, loading, and grafting ratio of the QAS were significant. Increasing chain length, loading, grafting ratio significantly enhanced antibacterial activity but reduced the initial CS of the formed cements. The antibacterial effect of the substitute chain lengths from free QAS seem more significant in water than those from their polymers (PQAS) after integrating to the cement. The experimental cement showed less CS reduction and higher antibacterial activity than Fuji II LC. The long-term aging AZD6094 price study

indicates that the cement might have a long-lasting antibacterial function with no PQAS leaching. Within the limitations of this buy GS-9973 study, it appears that the experimental cement is a clinically attractive dental restorative that can be potentially used for long-lasting restorations due to its high mechanical strength and long-lasting antibacterial function. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 122: 2542-2551, 2011″
“When solidifying molten silicon in contact with a foreign substrate, the interfacial interaction between silicon and the substrate material can affect the nucleation behavior and therefore

the final grain structure. This work illuminates the nucleation properties of different materials using differential scanning calorimetry to measure the undercooling below the melting temperature of molten silicon in contact with silicon oxides and nitrides. Both dry and wet thermal oxides show greater than 120 degrees C of undercooling before nucleation occurs, while silicon nitride consistently shows less than 17 degrees C. Variability in measured undercooling was minimized by improving coating uniformity but is not necessarily affected by overall sample deformation. A double-layer coating of silicon nitride over dry oxide reduced the dry oxide undercooling to <56 degrees C due to inter-ayer thermal stresses, which can be minimized by reducing the outer layer of silicon nitride to <40 nm. The double-layer SiN(x)-SiO(2) coating produced larger grains than the SiN(x) coating alone, when applied to a wafer recrystallization process. (C) 2011 American Institute of Physics.

The present study proposed the novel method for the accurate esti

The present study proposed the novel method for the accurate estimation of stimulating points of the cortex in TMS. In our proposed method, the cortical

structure and property of neural excitation in magnetic nerve stimulation were taken into account. The basic unit of the cerebral cortex is the cylindrical column containing pyramidal neurons perpendicular to the cortical surface, and neural excitation in the magnetic nerve stimulation is determined by the spatial derivative of the electric field parallel to the cablelike neuron such as a pyramidal neuron. According to these understandings, the relative intensity of nerve stimulation in TMS corresponds to the strength of the component of the induced electrical field perpendicular to the selleck chemicals cortical surface. We realized the method for the estimation

Selleck Pfizer Licensed Compound Library of stimulating sites of the cortex in TMS by using this principle. The component of the electric field perpendicular to the cortical surface at each pixel of magnetic resonance imaging was obtained with computation of the dot product of the electric field and the unit vector perpendicular to the cortex surface. The strength of the component of the electric field perpendicular to the cortical surface was regarded as the stimulating strength at each pixel of the cortical surface in TMS. We conducted the experiments of TMS to confirm the validity of this method. The cortex sites, which innervate muscles of the upper limb, were successfully delineated

in primary motor area by the proposed method. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3068631]“
“Accurate measurement of blood viscoelasticity including viscosity and elasticity is essential in estimating blood flows in arteries, arterials, and capillaries and in investigating sub-lethal damage of RBCs. Furthermore, the blood viscoelasticity could be clinically used as key check details indices in monitoring patients with cardiovascular diseases. In this study, we propose a new method to simultaneously measure the viscosity and elasticity of blood by simply controlling the steady and transient blood flows in a microfluidic analogue of Wheastone-bridge channel, without fully integrated sensors and labelling operations. The microfluidic device is designed to have two inlets and outlets, two side channels, and one bridge channel connecting the two side channels. Blood and PBS solution are simultaneously delivered into the microfluidic device as test fluid and reference fluid, respectively. Using a fluidic-circuit model for the microfluidic device, the analytical formula is derived by applying the linear viscoelasticity model for rheological representation of blood.

960 vs 0 939, P = 002), sensitivity (90 0% vs 85 3%, P = 001),

960 vs 0.939, P = .002), sensitivity (90.0% vs 85.3%, P = .001), and specificity (93.0% vs 88.1%, P = .001).

Conclusion: On the basis of prospectively collected variables, the evaluated Bayesian network can predict the probability of breast cancer and exceed interpreting radiologist performance. Bayesian networks may help Small molecule library clinical trial radiologists improve mammographic interpretation. (C) RSNA, 2009″
“A low temperature (approximate to 393 K) soft chemical route under refluxing conditions has been followed to prepare polycrystalline manganese sillenites, Bi12MnO20 (BMO). X-ray diffraction and scanning electron microscopy show a cubic BMO pure phase with a=10.206

angstrom, homogeneous morphology, and nanoparticle size. A detailed study of the magnetic properties is presented. The zero-field-cooled and field-cooled magnetization curves show a typical nanoparticle behavior with blocking temperature T-B approximate to 18 K. The ac susceptibility measured at different frequencies gives an Arrhenius behavior compatible with the superparamagnetic

nanoparticle relaxation processes but with an unusually small relaxation time. The relaxation time is shown to be field dependent due to strong interparticle interaction. (C) 2010 American Institute of Physics. [doi:10.1063/1.3362927]“
“ObjectiveTo examine prevalence and predictors of cancer-specific distress in undiagnosed men with and without a family history of prostate cancer, and to examine the contribution

of perceptions of an affected relative’s cancer experience learn more Alvocidib mouse on the distress of unaffected male relatives.

MethodsMen with a first degree relative with prostate cancer (n=207) and men without a family history (n=239) from Australia completed a Computer Assisted Telephone Interview. Participants completed the Prostate Cancer Anxiety Subscale of the Memorial Anxiety Scale for Prostate Cancer, measures of perceived risk, and socio-demographic information. Men with a family history provided details about their family history (number of relatives diagnosed with and dead from prostate cancer, relationship to affected relative, months since diagnosis) and reported their perceptions of their affected relative’s prostate cancer experience including perceptions of threat related to the relative’s diagnosis and perceived treatment phase and prognosis.

ResultsCancer-specific distress was low for all men and there was no significant difference in the distress experienced by men with and without a family history. Regression analyses showed that for all men, cancer-specific distress increased with urinary symptoms and decreased in those with higher education and in older participants. For men with a family history, having a relative who died from prostate cancer and perceiving greater threat from a relative’s diagnosis was associated with greater cancer-specific distress.

Results: At 2 days, mean amphotericin B concentrations were 11 1

Results: At 2 days, mean amphotericin B concentrations were 11.1 mu g/ml (95% confidence interval [Cl]: 16.5 to 5.7 mu g/ml) and 9.0 mu g/ml (95% CI: 14.3 to 3.8 mu g/ml) in the first and third aliquot, respectively. Thereafter, concentrations declined progressively. At 14 days, concentrations were 3.0 mu g/ml (95% Cl: Selleck 3 MA 4.4 to 1.5 mu g/ml) in the first aliquot and

4.1 mu g/ml (95% CI: 6.1 to 2.1 mu g/ml) in the third aliquot (p = not statistically significant). Traces of amphotericin B (0.1 mu g/ml) were found in serum samples from only I of 27 patients. Mean value of forced expiratory volume in the first second (FEV(1)) was similar before and after n-LAB.

Conclusions: Amphotericin B concentrations after n-LAB remained high for 14 days, at adequate concentrations for prophylaxis of Aspergillus infection. No significant systemic absorption of amphotericin B was detected and no effect was observed on respiratory function. This promising prophylactic regimen warrants assessment in future clinical studies. J Heart Lung Transplant 2009;28:170-5. Copyright (C) 2009 by the International Society for Heart and Lung Transplantation.”
“Basal

cell carcinoma is the most common human neoplasia. In more than 80 % of patients, who are predominantly elderly, it is located in the headand- neck-area. Basal cell carcinomas in non-UV-exposed areas of the body, such as the anogenital region, are dermatological rarities. We describe an 88-year-old patient with a perianal tumor that was detected during skin cancer screening. Histopathology PF-00299804 order showed the tumor to be a basal cell carcinoma. Immunohistochemical staining for Ber-EP4 was highly positive, clearly distinguishing the tumor from basaloid anal carcinoma, which is the most important histological differential diagnosis. Additional virological

analyses for human papillomaviruses ( HPV) were negative. Immunohistochemical staining for p16INK4a demonstrated strong expression in the cells of the tumor parenchyma. However, p16INK4a can also be expressed independently of HPV. The present case shows that all GSK461364 concentration uncertain perianal skin lesions should be biopsied.”
“The results of the Balmer alfa line shape study in a plane cathode-hollow anode Grimm discharge with aluminum (Al) cathode covered with thin layer of porous Al2O3 are presented. The comparison with same line profile recorded with pure Al cathode shows lack of excessive Doppler broadened line wings, which are always detected in glow discharge with metal cathode. The effect is explained by the lack of strong electric field in the cathode sheath region, which is missing in the presence of thin oxide layer in, so called, spray discharge. (c) 2009 American Institute of Physics. [DOI: 10.1063/1.3143016]“
“Background: it has been suggested that pregnancy-related hormones play a critical role in mediating selective immune tolerance during pregnancy.

The work focused on the investigation of the spatiotemporal evolu

The work focused on the investigation of the spatiotemporal evolution of the discharge versus the needle tip size and working gas pressure. The simulation results

showed that the discharge occurred mainly in the region near the needle tip at atmospheric pressure, and that the small radius of the needle tip led to easy discharge. Reducing the gas pressure gave rise to a transition from a corona discharge to a glowlike discharge along the needle-to-plane direction. The microscopic mechanism for the transition can arguably be attributed to the peak of high-energy electrons occurring before https://www.selleckchem.com/products/mln-4924.html the breakdown; the magnitude of the number of these

electrons determined whether the breakdown can take place.”
“Background: The amount of resistance provided by the ACL (anterior cruciate ligament) to axial tibial rotation remains controversial. The goal of this study was to test the primary hypotheses that ACL transection would not significantly affect tibial rotation under the large impulsive loads associated with a simulated pivot landing but would increase anterior tibial translation.

Methods: Twelve cadaveric knees (mean age of donors [and standard deviation] at Nirogacestat mw the time of death, 65.0 +/- 10.5 years) were mounted in a custom testing apparatus to simulate a single-leg pivot landing. A compound impulsive load was applied to the distal part of the tibia with compression (similar to 800 N), flexion moment (similar to 40 N-m), and axial tibial torque (similar to 17 N-m) in the presence of five trans-knee muscle forces. A differential variable reluctance transducer mounted on the anteromedial aspect of the ACL measured

relative strain. With the knee initially in 15 degrees of flexion, and after five combined compression and flexion moment (baseline) loading trials, six trials were conducted with Small molecule library the addition of either internal or external tibial torque (internal or external loading), and then six baseline trials were performed. The ACL was then sectioned, six baseline trials were repeated, and then six trials of either the internal or the external loading condition, whichever had initially resulted in the larger relative ACL strain, were carried out. Tibiofemoral kinematics were measured optoelectronically. The results were analyzed with a nonparametric Wilcoxon signed-rank test.

Results: Following ACL transection, the increase in the normalized internal tibial rotation was significant but small (0.7 degrees/N-m +/- 0.3 degrees/N-m to 0.8 degrees/N-m +/- 0.3 degrees/N-m, p = 0.012), while anterior tibial translation increased significantly (3.8 +/- 2.9 to 7.0 +/- 2.9 mm, p = 0.017).