“
“Multiple sclerosis (MS) is a demyelinating disorder predominantly affecting young people. Currently, interferon beta (IFN beta) is a common treatment for MS. Despite a large effort in recent years, valid biomarkers with predictive value for clinical AZD1152 Cell Cycle inhibitor outcome and response to therapy are lacking. In order to identify predictive biomarkers of response to IFN beta therapy in relapsing-remitting MS patients, we analyzed expression of 526 immune-related genes with the nCounter Analysis System (NanoString Technologies, Seattle, WA, USA) on total

RNA extracted from peripheral blood mononuclear cells of 30 relapsing-remitting MS patients. We used a Wilcoxon signed-rank test to click here find an association between certain gene expression profiles and clinical responses to IFN beta. We compared the expression profile of patients who responded to IFNI?. treatment (n = 16) and non-responsive IFN beta patients (n = 14). The analysis revealed that the expression of eight genes could differentiate between responsive and non-responsive men (p smaller than = 0.005). This differentiation was not evident in women. We analyzed results

from an additional cohort of 47 treated and untreated patients to validate the results and explore whether this eight gene cluster could also predict treatment response. Analysis of the validation cohort demonstrated that three out of the eight genes remained significant in only the treated

men (p smaller than = 0.05). Our findings could be used as a basis for establishing a routine test for objective prediction of IFN beta treatment response in male MS patients. (C) 2015 Selleck RG 7112 Elsevier Ltd. All rights reserved.”
“Park Y, Capobianco S, Gao X, Falck JR, Dellsperger KC, Zhang C. Role of EDHF in type 2 diabetes-induced endothelial dysfunction. Am J Physiol Heart Circ Physiol 295: H1982-H1988, 2008. First published September 12, 2008; doi:10.1152/ajpheart.01261.2007. – Endothelium-derived hyperpolarizing factor (EDHF) plays a crucial role in modulating vasomotor tone, especially in microvessels when nitric oxide-dependent control is compromised such as in diabetes. Epoxyeicosatrienoic acids (EETs), potassium ions (K+), and hydrogen peroxide (H2O2) are proposed as EDHFs. However, the identity (or identities) of EDHF-dependent endothelial dilators has not been clearly elucidated in diabetes. We assessed the mechanisms of EDHF-induced vasodilation in wild-type (WT, normal), db/db (advanced type 2 diabetic) mice, and db/db mice null for TNF (db(TNF-)/db(TNF-)).

In this study, we demonstrate that the Hedgehog (Hh) pathway, well known for its roles in the developing CNS, is active in astrocytes of the mature mouse forebrain in vivo. Using multiple genetic approaches, we show that regionally distinct subsets of astrocytes receive Hh signaling, indicating a molecular diversity between specific astrocyte populations. Furthermore, we identified neurons as a source of Sonic hedgehog (Shh) in the adult forebrain,

suggesting that Shh signaling is involved in neuron-astrocyte communication. Attenuation of Shh signaling in postnatal astrocytes by targeted removal of Smoothened, an obligate Shh coreceptor, resulted in upregulation of GFAP and cellular hypertrophy specifically in astrocyte populations BI 2536 research buy regulated by Shh signaling. Collectively, our findings demonstrate a role for neuron-derived Shh in regulating specific

populations of differentiated astrocytes.”
“Bisphenol A (BPA) is one of the most prevalent chemicals in daily-use materials, therefore, human exposure to BPA is ubiquitous. We found that low concentrations of BPA stimulate the spermatogonial GC-1 cells proliferation by G protein-coupled receptor 30 (GPR30)-mediated epidermal growth factor receptor (EGFR)-extracellular regulated kinase (ERK)-c-Fos pathway. However, through the same pathway GPR30 expression has been shown to be induced by EGF, an EGFR ligand. Thus, we want to know if low concentrations www.selleckchem.com/products/gsk923295.html of BPA are able to induce the GPR30 expression and the possible mechanism(s) in GC-1 cells. By transient transfection with expression plasmids,

10(-9) M EPA significantly transactivates the Gpr30-5′-flanking region through activating the GPR30, check details cGMP-dependent protein kinase (PKG), estrogen receptor-alpha (ER-alpha), and EFGR-ERK pathways. Furthermore, an activator protein-1 (AP-1) site located within this region is found to be responsible for the transactivation of BPA. Expectedly, through the same pathways, BPA significantly induces the gene and protein expression of GPR30. c-Fos is further observed to be strongly recruited to the AP-1 site in a chromatin immunoprecipitation assay and its dysfunction on the AP-1 site markedly suppresses the expression of GPR30, p-ERK1/2, p-Ser118-ER-alpha and cell proliferation by BPA. Our results demonstrate that a low-concentration BPA induces GPR30 expression through the GPR30-EFGR-ERK-c-Fos, ER-alpha, and PKG pathways, presumably boosting the cells proliferation via a regulatory loop. The present study provides a novel insight into the potential role of GPR30 in the initiation and progression of male germ cell cancer induced by environmentally relevant BPA. (C) 2012 Elsevier Inc. All rights reserved.”
“The fruits of Cornus officinalis have been used in traditional oriental medicine for treatment of inner ear diseases, such as tinnitus and hearing loss.

Mean NT-proBNP levels were high. The great expansion of central volume may explain these results and the later development of left ventricular hypertrophy.\n\nConclusion. We concluded that elevated concentrations of NT-proBNP indicated the presence of hyperdynamic syndrome and cardiac dysfunction.”
“Subarachnoid hemorrhage (SAH) represents a considerable health problem with an incidence

of 6-7 per 100.000 Bucladesine price individuals per year in Western society. We investigated the long-term consequences of SAH on behavior, neuroinflammation and grayand white-matter damage using an endovascular puncture model in Wistar rats. Rats were divided into a mild or severe SAH group based on their acute neurological score at 24 h post-SAH. The degree of hemorrhage determined ACY-738 chemical structure in post-mortem brains at 48 h strongly correlated with the acute neurological score. Severe SAH induced increased TNF-alpha, IL-1 beta, IL-10, MCP-1, MIP2, CINC-1 mRNA expression and cortical neutrophil influx at 48 h post-insult. Neuroinflammation after SAH was very long-lasting and still present at day 21 as determined by Iba-1 staining (microglia/macrophages) and GFAP (astrocytes). Long-term neuroinflammation

was strongly associated with the degree of severity of SAH. Cerebral damage to gray-and white-matter was visualized by immunohistochemistry for MAP2 and MBP at 21 days after SAH. Severe SAH induced significant gray- and white-matter damage. MAP2 loss at day 21 correlated significantly with the acute neurological score determined at 24 h post-SAH. Sensorimotor behavior, determined by the adhesive removal task and von Frey test, was affected after severe SAH at day 21. In conclusion, we are the first to show that SAH induces ongoing cortical inflammation. Moreover, SAH induces mainly cortical

long-term brain damage, which is associated with long-term sensorimotor damage.”
“Conclusions concerning the structures of cyclohexane-1,3-dione GDC-0973 supplier and 4-hydroxycyclohexane-1,3-dione in solutions have been presented. These results are based on DFT quantum-chemical calculations [DFT pbe1pbe/6-311++G(2d,p) PCM] and (1)H and (13)C NMR investigations in CDCl(3) and DMF-d(7). Apart from conventional interpretation of spectroscopic data measured (13)C NMR chemical shifts have been compared with magnetic shielding constants calculated by GIAO-DFT method, using correlation analysis. (C) 2009 Elsevier B.V. All rights reserved.”
“Six species of the genus Stenoloba Staudinger, 1892 (S. yunley sp. nov., S. viridibasis sp. nov., S. oculatoides sp. nov., S. viridinivea sp. nov., S. rufosagittoides sp. nov., and S. acutivalva sp. nov.) are described from South China. The new combination Stenoloba brunneola comb. n. for Bryophila brunneola Draudt, 1950 is introduced. Seven species: S. pulla Ronkay, 2001, S. benedeki Ronkay, 2001, S. viridimicta Hampson, 1910, S.

We then applied these treatment effects to 2 different composite CV outcomes generated using blinded data from the

ongoing Nateglinide and Valsortan in Impaired Glucose Tolerance (IGT) Outcomes Research (NAVIGATOR) trial and analyzed them on a time-to-first-event basis. The composites were CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure and an “extended” composite that included hospitalization for angina and coronary revascularization.\n\nResults The odds reductions due to angiotensin-converting enzyme/angiotensin receptor blocker treatment estimated from the meta-analysis were as follows: CV death: 13%, P < .0001; nonfatal myocardial infarction: mTOR inhibitor 16%, P < .00001; nonfatal stroke: 14%, P = .006; heart failure: 28%, P < .00001; hospitalization for angina: 7%, P = .02; and revascularization: 5%, P = .17. For the CV composites, the projected odds reduction was larger (17.8%, 95% CI 0.452-1.189) for the narrower composite compared with the extended CV composite (11.7%, 95% CI 0.623-1.136); that is, use of the extended composite reduced power Givinostat ic50 to detect a difference between treatment groups.\n\nConclusions Although the use of CV composites augments event rates, it may not increase statistical

power. Inclusion of events little influenced by an intervention may reduce the precision of the composite end point and mask treatment effects.”
“Fibroblast growth factor 8b (FGF8b) is the major isoform of FGF8 expressed in prostate cancer and it correlates with the stage and grade of the disease. FGF8b has been

considered as a potential target for prostate cancer therapy. Here we isolated 12 specific FGF8b-binding phage clones by screening a phage display heptapeptide library with FGF8b. The peptide (HSQAAVP, named as P12) corresponding to one of these clones showed high homology to the immunoglobulin-like (Ig-like) domain II(D2) of high-affinity FGF8b receptor (FGFR3c), contained 3 identical amino acids (AVP) to the authentic FGFR3 D2 sequence aa 163-169 (LLAVPAA) directly participating in ligand binding, carried HKI-272 mw the same charges as its corresponding motif (aa163-169) in FGFR3c, suggesting that P12 may have a greater potential to interrupt FGF8b binding to its receptors than other identified heptapeptides do. Functional analysis indicated that synthetic P12 peptides mediate significant inhibition of FGF8b-induced cell proliferation, arrest cell cycle at the G0/G1 phase via suppression of Cyclin D1 and PCNA, and blockade of the activations of Erk1/2 and Akt cascades in both prostate cancer cells and vascular endothelial cells. The results demonstrated that the P12 peptide acting as an FGF8b antagonist may have therapeutic potential in prostate cancer. (c) 2013 Elsevier Inc. All rights reserved.

Furthermore, GST can be a potential biomarker and an early-warning index for the pollutants in waters in that GST responded sensitively to 1 day and 10 days of exposure to diesel oil and 2,4-DCP and 10 days of combined exposure. Crossover comparisons showed an antagonistic action about the no-observed-effect concentration (NOEC) against Daphnia magna, which needs further studies.”
“PurposeThis study aims to evaluate the impact of chemotherapy-induced alopecia (CIA) distress on body image, psychosocial well-being, and depression

among breast cancer patients. MethodsA cross-sectional survey was conducted at the breast cancer advocacy events held at 16 hospitals in Korea. Alopecia distress was assessed using the Chemotherapy-Induced Alopecia Distress Scale’, body image and psychosocial well-being were measured by the European Organization for Research and Treatment of Cancer Quality of MK5108 nmr Life Questionnaire Core 30 and breast specific module (BR23), and depression was measured using the Center for Epidemiological Studies Depression scale. Means 3-deazaneplanocin A of outcomes were compared between low and high CIA distress groups. Univariable and multivariable linear regression models were used

to analyze the relationship between the CIA distress and body image, psychosocial well-being, and depression. ResultsOne hundred sixty-eight breast cancer patients participated in the study; the mean age was 48.4 (SD=8.4) years, and 55.3% of the patients experienced higher distress from alopecia. In fully adjusted models, the high distress group was more likely to have a poorer body image than the low distress group (35.2 vs. 62.0; p smaller than 0.001). Distressed patients were also more likely to report lower emotional (55.3 vs. 76.9; p smaller than 0.001), role (58.6 vs. 72.0; p smaller than 0.001), and social functioning (51.3 vs. 70.9; p smaller than 0.001). The high distress group was also more likely to have depression compared with the low distress group

(19.6 vs. 14.8; p smaller than 0.001). ConclusionsChemotherapy-induced alopecia distress was negatively associated with body image, psychosocial well-being, and depression in women with breast cancer. It is necessary to develop specific interventions to minimize distress due to alopecia for women with breast cancer. Copyright (c) 2014 John Wiley Selleck Cyclopamine & Sons, Ltd.”
“Helicobacter pylori (H. pylori) infection is strongly associated with the development of gastric diseases but also with several extragastric diseases. The clinical outcomes caused by H. pylori infection are considered to be associated with a complex combination of host susceptibility, environmental factors and bacterial isolates. Infections involving H. pylori strains that possess the virulence factor CagA have a worse clinical outcome than those involving CagA-negative strains. It is remarkable that CagA-positive H. pylori increase the risk for gastric cancer over the risk associated with H. pylori infection alone.

Treatment of cultured neurons with IVIg reduced simulated ischemia- and amyloid beta peptide (A beta)-induced caspase 3 cleavage, and phosphorylation of the cell death-associated kinases p38MAPK, c-Jun NH2-terminal kinase and p65, in vitro. Additionally, A beta-induced accumulation of the lipid peroxidation product 4-hydroxynonenal was attenuated in neurons treated with IVIg. IVIg treatment also up-regulated FG-4592 the anti-apoptotic protein, Bcl2 in cortical neurons under ischemia-like conditions and exposure to A beta. Treatment of mice with IVIg reduced neuronal cell loss, apoptosis and infarct size, and improved functional outcome in a model of focal ischemic stroke. Together,

these results indicate that IVIg acts directly on neurons to protect them against ischemic stroke and A beta-induced neuronal apoptosis by inhibiting cell death pathways and by elevating levels of the anti-apoptotic protein Bcl2.”
“The purpose of this study is to compare the efficacy of myringoplasty with or without cortical mastoidectomy in terms of freedom from discharge, graft take up and improvement in hearing. This is a Clinical prospective study of 120 patients from among a U0126 group of patients with chronic

suppurative otitis media. A detailed history and examination was conducted including pure tone audiogram. Patients were randomly divided into two groups; group A would undergo myringoplasty only and group B would undergo cortical mastoidectomy with myringoplasty.

Patients were reviewed after 3 weeks for inspection of the operated ear. Second post-operative review was at 3 months for clinicoaudiological assessment. Group B was found to have slightly more improvement as compared to the other group. No significant difference in the success rates of graft take-up in patients with unilateral or bilateral disease was found. Higher take up rates were seen in large (91.83 %) and medium perforations (90.69 %). In all our failed cases, post-operative ear discharge continued to be a persistent and troubling problem. The average audiological gain was 12.88 dB in group B, whereas it was 12.40 dB in group A. The reduction of air bone gap within each group was found to be significant. There is no statistical significant data indicating that tympanoplasty with mastoidectomy yields better results. When considering the addition of a mastoidectomy Selleckchem FG4592 to a Tympanoplasty, the performing surgeon should consider not only the potential added benefit but also potential risks and costs to the patient.”
“Objective: Estrogen-based hormone therapy (HT) attenuates abdominal fat gain after menopause, but whether HT improves abdominal fat loss during weight loss is unknown. It was hypothesized that HT or a selective estrogen receptor modulator (raloxifene) would augment reductions in abdominal visceral fat during weight loss when compared to placebo, potentially increasing improvements in glucose tolerance and lipid profile.

The

decision support is based on WHO guidelines and designed using three principles: (1) Guidance through routine actions in maternal and perinatal care, (2) integration of clinical data to detect situations of concern by algorithms, and (3) electronic tracking of peri-and postnatal activities. In addition, the tool facilitates patient management and is a source of training material. The implementation of the software, which is embedded in a set of interventions comprising the QUALMAT study, is subject to various research projects assessing and quantifying the impact of the CDSS on quality of care, the motivation of health care staff (users) and its health economic aspects. The software will also be assessed for its usability and acceptance, as well as for its influence on workflows in the rural setting of primary health care in the three countries involved.\n\nConclusion: C59 Wnt supplier selleck chemicals The development and implementation of a CDSS in rural primary health care centres presents challenges, which may be overcome with careful planning and involvement of future users at an early stage. A tailored software with stable functionality should offer perspectives to improve maternal care in resource-poor settings.”
“Background. Achieving effective local control and obtaining optimal functional outcomes are now both needed in

the surgical management for rectal cancer.\n\nObjectives. The aim of this study was to assess early functional results after low anterior resection performed with an ultrasound scalpel.\n\nMaterial and Methods. Nineteen consecutive rectal cancer patients surgically treated during the years 2004-2008 with low anterior resection with sharp total mesorectal excision were studied. Dissection was performed with an ultrasound scalpel instead of electrocautery. The frequency of axial vibration and the extension of longitudinal vibration were 55.5 kHz and 75 mu m, respectively. Special effort was made to identify and preserve autonomic nerves. Postoperative complications

and functional results were analyzed.\n\nResults. Surgery was completed with no intraoperative complications. The mean operating time Stem Cell Compound Library screening was 150.20 +/- 27.09 min. In each case, resection and anastomosis ( straight, double-stapled) were done with ease. There was no postoperative mortality. Blood transfusion was not required. Neither anastomotic leakage nor abdominal infectious complications were noticed. Delayed wound healing and prolonged bowel paralysis occurred in two patients (13%) with diabetes and chronic obturative pulmonary disease, respectively. Urinary bladder disturbance developed in one female patient (7%) as stress incontinence. This dysfunction was transient, with symptoms being significantly reduced during the six postoperative months.\n\nConclusions.

\n\nSubjects are interested in active

boxing for 5-14 years (mean 6.67) and between the age of 18-32 (mean 21.71). Screened group consisted of 21 male boxers. Auditory brainstem responses, pure tone and high frequency audiogram tests were conducted for boxers and unscreened groups in the standard acoustically controlled rooms using Interacoustics Clinical Computer Audiometer.\n\nMean +/- standard deviations are reported. Groups were compared by Student’s t test p<0.05. Auditory brainstem responses and pure tone values were determined in range of I-V inter-pick latency (ms). There were no statistically significant differences www.selleckchem.com/products/jq1.html in the hearing level of elite amateur boxers in contrast to non-boxers. It is seen to be important that amateur boxers wear protective materials as a helmet and mouth guard to minimize the risk of injury. The use of protective equipment must be encouraged for boxer’s health.”
“Toxoplasma gondii is one of the

major agents of infectious abortions and due to its worldwide distribution can threat healthy pregnant women who had no previous exposure to this parasite. The present study was designed to investigate the contribution of T gondii to spontaneous abortions in Zanjan, Northwest of Iran, using ELISA method. Blood Samples were collected from 264 mothers referred to the provincial hospitals of Zanjan due to spontaneous abortion. The sera were isolated and subjected to evaluate the anti-Toxoplasma IgG, www.selleckchem.com/products/nct-501.html IgM and IgA antibodies. The results showed IgG positive (IgG(+)) in 99 cases (37.5%). A total of 68 women (25.8%) showed seroconversion with IgM or IgA or both IgM and IgA. They included: IgM(+) in 21(8.0%), IgA(+) in 23 (8.7%) and both IgM(+) and IgA(+) in 24 (9.1%) subjects. In 23 cases, positive titers

of IgM and IgG were accompanied. In general, the analysis of anti-Toxoplasma antibody patterns, showed that about 17% of the spontaneous abortions were associated with serological patterns of acute infection. According to these findings, Selleckchem Ulixertinib a considerable proportion of spontaneous abortions can be attributed to T gondii in the study area.”
“Cholangiocarcinoma (CCA) has no specific clinical signs and symptoms and non-specific bio- and tumor-markers in the early disease stage. Usually patients present to tertiary care with advanced disease stage. In order to detect early cases of CCA that may present as a mass, dilatation of intrahepatic duct or combination, ultrasonography is accepted as a powerful imaging tool. A smaller mass or bile duct segmental dilatation requires further imaging for characterization, including computerized tomography (CT) or magnetic resonance imaging (MRI). We examined whether liver echo pattern was correlated with high risk for CCA in an endemic area of Opisthorchis viverrini (Ov).

“
“Given the well-documented adverse side effects of sorafenib, many sorafenib-treated patients may need the reduced initial dose of the compound, and an alternative sorafenib-based therapy, which exerts similar clinical benefit, is anticipated. An angiostatic therapy with sorafenib is considered one of the promising approaches for

chemoprevention of hepatocellular carcinoma. The aim of the current study was to elucidate the combination effect of low dose of sorafenib and angiotensin-II receptor blocker (ARB) on hepatocarcinogenesis, especially in conjunction with angiogenesis. Selleck GSK2126458 The chemopreventive effect on the development of liver preneoplastic lesions, angiogenesis, and several indices was elucidated in rats. We also performed several sets of in vitro Selleck Go-6983 experiments to examine the mechanisms involved. Using a non-diabetic rat model of steatohepatitis with choline deficient l-amino acid-defined diet, sorafenib demonstrated marked inhibition of preneoplastic lesions in a dose dependent manner. Combined treatment with ARB (losartan) at a clinically comparable dose and half dose of sorafenib resulted in the inhibitory effect equivalent to that of common dose of sorafenib along with suppression of hepatic neovascularization and potent angiogenic factor, vascular

endothelial growth factor. Furthermore, similar combined inhibitory outcomes were observed in several sets of in vitro studies. Since the combinatorial treatment using low doses of sorafenib and ARB could sufficiently induce inhibitory effect on the development of preneoplastic lesions at the magnitude similar to the conventional dose of sorafenib, this regimen may provide new strategy for patients intolerant of the usual dose of sorafenib in the future.”
“BackgroundZonisamide is a new generation antiepileptic drug (AED) widely used in children with refractory epilepsy, although until recently, it was used

to a large extent as off-label mTOR inhibitor or unlicensed medication due to the lack of evidence-based studies. Children have a different pharmacokinetic profile than adults and an adult dose regimen cannot be directly translated into pediatric use. Patients and MethodsIn this retrospective noninterventional study of the medical records of 75 children with pharmacoresistant epilepsy, the pharmacokinetics, efficacy and safety of zonisamide were examined. The dose-to-concentration ratio, the daily weight-normalized dose of zonisamide divided by its plasma concentration, was used as a measure of clearance. In addition, data on the efficacy of zonisamide to reduce seizures and reported adverse events were extracted from the medical records and analyzed.

Tgf beta is required for Arf promoter activation in developing mouse eyes, and its capacity to induce Arf depends on Smads 2/3 as well as p38 Mapk. Substantial delay between activation of these pathways and increased Arf transcription imply that changes in the binding of additional transcription factors help orchestrate changes in Arf expression. Focusing on proteins with putative DNA binding elements MAPK inhibitor near the mouse Arf transcription start, we now

show that Tgf beta induction of this gene correlated with decreased expression and DNA binding of C/ebp beta to the proximal Arf promoter. Ectopic expression of C/ebp beta in mouse embryo fibroblasts (MEFs) blocked Arf induction by Tgf beta. Although basal levels of Arf mRNA were increased by C/ebp beta loss in MEFs and in the developing eye, Tgf beta was still able to increase Arf, indicating that derepression

was not the sole factor. Chromatin immunoprecipitation (ChIP) assay showed increased Sp1 binding to the Arf promotor at 24 and 48 hours after Tgf beta treatment, at which time points Arf expression was significantly induced by Tgf beta. Chemical inhibition of Sp1 and its knockdown by RNA interference blocked Arf induction by Tgf beta in MEFs. In summary, our results indicate that C/ebp beta and Sp1 are negative and positive Arf regulators that are influenced by Tgf beta.”
“The aetiology, differential diagnosis and management strategies of the foetal spleen affected with a cystic lesion are discussed. In Galardin mw the current literature, selleck kinase inhibitor there are very few reports that relate to antenatally diagnosed splenic cyst. Our study presents 3 case reports that were first suspected due to anisoechogenic structures detected during routine ultrasonographic examination at the 27th, 31st and 34th weeks of gestation. All 3 cases were further characterized by the lack of pathological power Doppler findings inside and around the lesions, and were morphologically refined by prenatal 3D ultrasound imaging. All findings were reconfirmed postnatally.

No complications such as cyst expansion, subcapsular bleeding or acute abdomen have developed, and all 3 cystic lesions have regressed spontaneously after birth. Copyright (C) 2009 S. Karger AG, Basel”
“Glenoid component loosening is a common complication of total shoulder arthroplasty and has been associated with the progression of radiolucent lines at the glenoid bone-cement interface. Generation of heat during the exothermic reaction of cement curing may cause osteonecrosis of bone, potentially leading to the development of radiolucent lines. The purpose of this study was to measure the heat generated with various defined amounts of cement used for glenoid component fixation.\n\nTen fresh-frozen cadaver scapulas were randomized to receive a keeled or pegged component with 1, 2, 3, 5, or 7 g of cement for fixation.