Reproducibility was assessed by determining Fleiss’ generalized kappa and intraclass correlation coefficients in a subcohort scored by 3 physicians with different degrees of urological expertise.
Results: A total of 134 partial nephrectomies were included in the study and 31 cases (23%) presented with complications. On univariate analyses complications were associated with age (p = 0.02), tumor size on computerized tomography (p =
0.01), pT stage (p = 0.001), and PADUA (p = 0.001) and R.E.N.A.L. scores (p = 0.02). In 3 multivariate models PADUA score 10 or greater (OR 3.98, p = 0.01), R.E.N.A.L. score 9 or greater (OR 4.21, p = 0.02), tumor size in cm (OR 1.35, p = 0.02) and age (OR 1.04, p = 0.04) were independent predictors of complications. The R.E.N.A.L. nephrometry score predicted the use of ischemia (p = 0.03) and both scores predicted ischemia CAL-101 order time (both p < 0.001). Kappa was 0.37 to 0.80 for PADUA components and 0.23 to 0.73 for R.E.N.A.L. components. The intraclass correlation coefficient was 0.73 for PADUA
and 0.70 for R.E.N.A.L. score.
Conclusions: The highest categories of PADUA and R.E.N.A.L. scores as well as clinical tumor size predict the risk of perioperative complications of partial nephrectomy. Both scores can indicate ischemia time. Their reproducibility is substantial but the implementation of these systems in clinical practice needs further refinement.”
“Phytoremediation is the use of plants to clean up environmental pollution. However, detoxification of organic pollutants by plants is often slow, leading to the accumulation of toxic Selleck BMS-777607 compounds that could be later released into the environment. A recent publication by Doty and colleagues describes the development of transgenic poplars (Populus) overexpressing a mammalian cytochrome P450, a family of enzymes commonly involved in the metabolism of toxic compounds. The engineered plants showed enhanced Oxalosuccinic acid performance with regards to the metabolism of trichloroethylene and the removal of a range
of other toxic volatile organic pollutants, including vinyl chloride, carbon tetrachloride, chloroform and benzene. This work suggests that transgenic plants might be able to contribute to the wider and safer application of phytoremediation.”
“There is a current debate whether the human brain possesses a shared representation for various types of magnitude such as numerical quantities, physical size, or loudness. Here, we critically review evidence from chronometric, neuroimaging, developmental and comparative fields, and supplement it with a meta-analysis of the neuroimaging data. Together, based on such an integrative overview, we discuss limitations inherent in each approach, and the possibility whether shared, or distinct magnitude representation, or both representations exist. (c) 2007 Elsevier Ltd. All rights reserved.”
“Background/Aim: Recently, a framework has been presented that links vigilance regulation, i.e.