We report on the case of a small bowel volvulus following periton

We report on the case of a small bowel volvulus following peritoneal closure using a barbed suture. The patient presented with acute abdominal pain and a bowel obstruction syndrome 1 month after laparoscopic sacral colpopexy.”
“A simplified version of the dynamic pressure method for measuring mass-transfer coefficients in gas-liquid systems is proposed. With this method oxygen concentration in the liquid phase is monitored after a sudden change of total pressure is applied to the system. With respect to the original technique introduced by Linek [14] the simplified CHIR98014 cost version here proposed greatly simplifies the data treatment, yet resulting in good accuracy for most practical purposes.

In practice, with the help of a simple mathematical model, it is found that the dynamic oxygen concentration response,

when plotted as residual driving force versus time in a semi-log diagram, should be expected to finally settle on a straight line. From the slope of this last k(L)a can be immediately computed. Experimental data obtained on a lab-size stirred tank reactor confirm all model predictions, including the feature that the adoption of large pressure changes may lead to better accuracy. Mass transfer coefficient data obtained by means of the simplified dynamic pressure method (SDPM) here proposed are compared with the relevant data Taselisib molecular weight obtained on the same system by the most accurate physical technique (pure oxygen absorption in a pre-evacuated liquid), as well as with the literature data, resulting in SDPM full validation. All k(L)a data obtained are finally organized by a conventional power law correlation. (C) 2009 Elsevier B.V. All rights reserved.”
“Background: Both the Alcohol Use Disorders Identification Test (AUDIT) and alcohol biomarkers are used to screen for alcohol problems. The purpose of this study was to examine the genetic and environmental contributions to the AUDIT score and alcohol GSK1120212 mouse biomarkers in Koreans.

Methods: The study included 1678 current alcohol drinkers: 818 Korean twins and 860 their families. The Korean version of AUDIT and alcohol biomarkers, i.e., gamma glutamyltransferase (GGT), alanine aminotransferase

(ALT), mean corpuscular volume (MCV), and triglycerides (TG), were studied. The analyses were conducted using variance components method to estimate heritability and common environmental effects, and bivariate analyses for genetic and environmental correlations between the AUDIT score and the biomarkers after adjustment for age, gender, interaction of age and gender, smoking status, the amount of consumed alcohol, body mass index, and education.

Results: Heritabilities for the AUDIT score were 0.35 and 0.40-0.71 for biomarkers (P<0.001). The risk of alcohol problems using AUDIT score was positively associated with the levels of biomarkers (GGT, MCV, and TG) in men, while the relationship was significant only for MCV in women.

The amplitudes of 6 fundamental vertebral movements around the lo

The amplitudes of 6 fundamental vertebral movements around the long, coronal and sagittal axis were quantified in the frequency range of 1 to 35 Hz.

Results. The vibration-induced rotation amplitudes of the apex of the thoracic deformity were higher than that of the lumbar segments. The apical vertebrae had the greatest rotation amplitudes at 2 and 8 Hz, and the largest lateral translation amplitudes at 16 Hz. Vibration could cause large lateral flexion amplitudes in the apex of

the thoracic deformity. The apical vertebrae Linsitinib manufacturer had the largest side flexion amplitudes at 6 Hz. Increasing upper body mass could not change resonant frequency of vibration-induced lateral translation and rotation around the FG-4592 long axis of the apical vertebrae.

Conclusion. The scoliotic spine is more sensitive to vibration than the normal spine. For a patient with single thoracic curve, long-term whole-body vibration may do more harm to the thoracic deformity than to the lower lumbar segments. Axial cyclic loads applied to an already deformed spine may cause further rotational and scoliotic deformity. The patients with idiopathic scoliosis are more

likely to suffer from vibration-induced spinal disorders than those by normal persons.”
“An investigation was carried out on students’ study habit in volumetric analysis at the senior secondary school level in Ondo State. A descriptive research design was adopted in the study. Questionnaire on study habit inventory was adapted and used to collect information from U0126 the respondents at various sampled schools. The sample comprised 240 senior secondary II chemistry students drawn from six schools in Akure South Local Government Area of Ondo State. The hypotheses investigated with respect to students’ study habit problems such as home

work/ assignment, reading and note-taking, students’ concentration, time allocation, teachers’ consultation as human variables were analyzed using chi-square statistics at 0.05 level of significance. The results indicated that the main sources of students’ study problems have strong influence on students’ study habit which is causally related to the performance and consequently the efficiency of the students during the practical lesson in volumetric analysis. Based on the findings of this study, it was recommended that chemistry teachers need proper exposure and orientation to some psychological study problems in order to understand students’ developmental and intellectual progress so as to improved learners’ performances. Hence, there is a need for workshops and seminar for teachers where the importance of effective study habit behavioural pattern would be stressed.”
“Gastric cancer remains the fourth commonest cancer, and the second commonest cause of cancer death, globally. Chemopreventive strategies to reduce the incidence of gastric cancer are required, particularly as the number of deaths per year is likely to rise for the foreseeable future.

Sixteen patients underwent CT scans and MRI at baseline and 12 we

Sixteen patients underwent CT scans and MRI at baseline and 12 weeks following commencement of chemotherapy. For each patient, up to five bone metastases were selected. Hounsfield

units were measured on CT and apparent diffusion coefficient (ADC) was measured on diffusion weighted MRI at both time points. Correlations between changes in apparent buy Entinostat diffusion coefficient and Hounsfield units were investigated.

Corresponding pre- and post-treatment apparent diffusion coefficient and Hounsfield units were available on 60 lesions from 16 patients. Overall, there was no significant correlation between changes in apparent diffusion coefficient with Hounsfield units. However, where changes in Hounsfield units increased by more than 50 %, there was a trend for an associated ADC rise.

Increasing sclerosis of bone metastases on treatment does not significantly

impede diffusion.”
“Bariatric surgery remains the most effective treatment for severely obese patients. However, the potential long-term effects of bariatric surgical procedures on health, including bone health, are only partially understood. The goal of this review was to present data on the impact of bariatric surgery on bone metabolism and to analyse possible reasons for the loss of bone mass that frequently occurs after bariatric surgery. Such factors include nutritional deficiencies, rapid weight loss per se, effects learn more of fat-derived adipokines and gut-derived appetite-regulatory hormones. However, the relative roles of these factors in skeletal regulation and the mechanisms by which they work are not yet fully defined. Our review was focussed on the complex

relationship between body weight, fat mass and bone mass, as well as peripheral and central mediators potentially involved in the dual regulation of both energy and bone homeostasis. We also review the data on the inverse relationship between central obesity, bone marrow fat and osteoporosis. As the number of bariatric operations Elafibranor increases, it is imperative to recognize mechanisms responsible for bariatric surgery-induced bone loss, with careful monitoring of bone health including long-term fracture incidence in patients undergoing these procedures.”
“BACKGROUND: Metabolic syndrome (MetS) and atherosclerotic vascular disease (AVD) are associated with increased coronary heart disease risk.

OBJECTIVE: To assess percent change from baseline in lipids and high-sensitivity C-reactive protein (hs-CRP) levels and the proportion of subjects reaching specified low-density lipoprotein cholesterol (LDL-C), non-high-density lipoprotein cholesterol (HDL-C) and apolipoprotein B (Apo B) single, dual, and triple targets and hs-CRP <2 mg/L among subjects with and without AVD treated with ezetimibe/simvastatin or atorvastatin for 6 weeks.

Materials and Methods: Original principal investigators obtained

Materials and Methods: Original principal investigators obtained ethics approval for each data set. All data were anonymized. Individual patient data sets (IPDs) for noninvasive imaging tests were used to determine sensitivity, specificity, and agreement between the tests for symptomatic carotid artery stenosis; to compare ipsilateral with contralateral arteries; PU-H71 to compare IPDs with literature estimates; to compare

routine audit and research data; and to determine the effect of age and sex on sensitivity and specificity.

Results: Contrast-enhanced MR angiography was the most accurate (sensitivity, 0.85 [30 of 35]; 95% confidence interval [CI]: 0.69, 0.93; and specificity, 0.85 [67 of 78]; 95% CI: 0.76, 0.92) for 70%-99% symptomatic stenosis. RSL3 solubility dmso Sensitivity for a 50%-69% stenosis was poor, although data were limited. Sensitivity and specificity were generally lower in the ipsilateral than in the contralateral

artery. IPD estimates were lower than literature values. Results of comparison of research with audit-derived data were inconclusive. Neither age nor sex affected accuracy. Agreement was better between two Doppler US tests and between two contrast-enhanced MR angiographic tests than it was between Doppler US and contrast-enhanced MR angiography, except for a 70%-99% symptomatic stenosis.

Conclusion: Primary studies should distinguish ipsilateral from contralateral arteries and carefully describe the patients’ characteristics and study environment. The literature

overestimates noninvasive imaging accuracy. More data are needed to inform physicians in routine clinical practice.”
“P>In find more most land plants RNA editing frequently occurs in many organelle transcripts, but little is known about the molecular mechanisms of the organelle RNA editing process. In this study, we have characterized the Physcomitrella patens PpPPR_71 gene that is required for RNA editing of the ccmFc transcript. This transcript harbors two RNA editing sites, ccmF-1 and ccmF-2, that are separated by 18 nucleotides. Complementary DNA sequence analysis of ccmFc suggested that RNA editing at the ccmF-1 site occurred before ccmF-2 editing. RNA editing of the ccmF-2 downstream site was specifically impaired by disruption of the PpPPR_71 gene that encodes a polypeptide with 17 pentatricopeptide repeat motifs and a C-terminal DYW domain. The recombinant PpPPR_71 protein expressed in Escherichia coli specifically bound to the 46-nucleotide sequence containing the ccmF-2 editing site. The binding affinity of the recombinant PpPPR_71 was strongest when using the edited RNA at ccmF-1. In addition, the DYW domain also binds to the surrounding ccmF-2 editing site.

MT-III and MT-I/II immunostaining of post-mortem tissue in MSA an

MT-III and MT-I/II immunostaining of post-mortem tissue in MSA and normal control human brains showed that the number of MT-III-positive cells is significantly increased in MSA in visual cortex, whereas MT-I/II isoforms showed no significant difference in the distribution of immunopositive cells in MSA compared to normal tissue. GCIs were immunopositive for MT-III, but were immunonegative for the MT-I/II isoforms. Immunofluorescence double labelling showed the co-localisation of alpha-synuclein and MT-III in GCIs in MSA tissue. In isolated GCIs, transmission electron microscopy demonstrated MT-III immunogold labelling of the amorphous material surrounding

alpha-synuclein filaments Selleck AZD1480 in GCIs. High-molecular weight MT-III species in addition to MT-III monomer were detected in GCIs by Western analysis of the detergent-solubilised

https://www.selleckchem.com/products/10058-f4.html proteins of purified GCIs. These results show that MT-III, but not MTI/II, is a specific component of GCIs, present in abnormal aggregated forms external to the alpha-synuclein filaments.”
“Study Design. Exposure discordant twin study.

Objective. To investigate the effect of injury on lumbar disc degeneration in monozygotic twins with discordant exposures to recalled previous injury/trauma to the lumbar spine.

Summary of Background Data. Disc degeneration is considered a primary source of low back pain. Despite this, important determinants of disc degeneration other than genotype have not been identified. One possible important determinant of disc degeneration that has undergone limited investigation is previous back injury.

Methods. We compared disc degeneration between 37 male monozygotic twin pairs with discordant exposures to recalled previous injury/trauma to the lumbar spine. Data on injury history were obtained through an extensive structured interview. Disc degeneration was assessed using quantitative measures of disc height and disc selleck chemicals signal intensity.

Results. Disc degeneration did not differ between twins who reported previous back injury and their uninjured cotwins. This finding was consistent for both disc height and disc signal intensity regardless of whether mean scores

or greatest difference at any one lumbar level was used in the analysis. Disc height averaged 0.3 mm higher in the injured twin (P = 0.302), and was on average 0.05% higher at the level of the greatest cotwin difference (P = 0.302). There was no evidence that greater period since injury resulted in greater twin differences in disc degeneration.

Conclusion. The current study suggests that back injury based on patient report is not an important predictor of future disc degeneration.”
“Objective. The objective of this study was to compare the surgical complications and neurosensory disturbances of coronectomy and total excision of lower wisdom teeth with roots in close proximity to the inferior dental nerve (IDN).

Study design.

SEDDS formulation of ABZ was prepared using oil (Labrafac Lipopfi

SEDDS formulation of ABZ was prepared using oil (Labrafac Lipopfile WL1349) and a surfactant/co-surfactant (Tween 80/PEG 400) mixture and was characterized by appropriate studies, viz., microemulsifying properties, droplet size measurement, in vitro dissolution, etc. Finally,

PK of the ABZ SEDDS formulation was XMU-MP-1 performed on rats in parallel with suspension formulation. It was concluded that the SEDDS formulation approach can be used to improve the dissolution and systemic exposure of poorly water-soluble drugs such as ABZ.”
“The classical phase II detoxification glutathione transferases (GSTs) are key metabolic enzymes that catalyze the conjugation of glutathione to various electrophilic compounds. A tau class GST gene (OsGSTU17) was cloned from rice, which encodes a protein of 223 amino acid residues with a calculated molecular mass of 25.18 kDa. The recombinant OsGSTU17 formed a homodimer protein and showed GSH-conjugating activity with various xenobiotics. Kinetic analysis with respect to NBD-Cl as substrate revealed a K(m) of 0.324 mM and V(max) of 0.219 mu mol/min per mg of protein. The enzyme had a maximum Pevonedistat nmr activity at pH 7.5,

and a high thermal stability with 81% of its initial activity at 55 degrees C for 15 min. Site-directed mutagenesis revealed that Ser15 in the N-terminal domain is a critical catalytic residue, responsible for stabilisation

of the thiolate anion of enzyme-bound glutathione. OsGSTU17 mRNA was expressed in different tissues of rice, both above and below ground. The relative transcript levels of OsGSTU17 mRNA varied significantly among the tissues in response to CDNB, hydrogen peroxide and atrazine treatments, indicating the gene has diverse regulation mechanisms in response to abiotic stresses. (C) 2009 Elsevier Masson SAS. All rights reserved.”
“The acousto-optical interaction of an optical wave confined inside a waveguide and a surface acoustic wave launched by an interdigital transducer (IDT) at the surface of a piezoelectric material is considered. The IDT with high aspect ratio electrodes supports several acoustic modes that are strongly confined to the surface, causing a significant increase in the strain underneath the surface. Selleckchem Liproxstatin 1 A finite element method is employed to model the surface acoustic waves generated by a finite length IDT with 12 electrode pairs and subsequently to study their interaction with an optical wave propagating in a waveguide buried in the lithium niobate substrate supporting the electrodes. The interaction can be increased up to 600 times using these new types of surface acoustic waves as compared to using a conventional IDT with thin electrodes. This result could find applications in improved acousto-optical integrated modulators.

All rights reserved “
“BACKGROUND: Retained

All rights reserved.”
“BACKGROUND: Retained GPCR Compound Library order fetal bone fragments may be an underreported and underappreciated cause of secondary infertility among women with an antecedent spontaneous or induced abortion.

CASES: Three patients with a history of an antecedent induced abortion presented with secondary infertility. The infertility evaluation diagnosed retained intrauterine fetal bone fragments. After removal of the bone fragments, two of the three patients successfully conceived.

CONCLUSION: Secondary infertility may be the only presenting symptom for women with retained fetal bone fragments.

Women with secondary infertility and antecedent spontaneous or induced abortion may benefit from uterine evaluation with ultrasonography before initiating

infertility treatment. For patients with findings of focal echogenic shadowing lesions at ultrasonography, we recommend ultrasonography-guided hysteroscopy to ensure that bone fragments embedded within the myometrium are not missed and are completely resected.”
“Silica nanoparticles (NPs) belong to the industrially most important NP types. In a previous study it was shown that CYT387 amorphous SiO2 NPs of 12.5 and 27.0 nm are stable in algal growth inhibition assays and that their ecotoxic effects are related to NP surface area. Here, it was hypothesized and demonstrated that an alumina coating completely alters the particle-particle, particle-test medium and particle-algae interactions of SiO2 NPs. Therefore, stability and surface characteristics, dissolution, nutrient adsorption and effects on algal growth rate of both alumina coated SiO2 NPs and bare SiO2 NPs in OECD algal test medium as a function

of pH (6.0-8.6) and natural organic matter (NOM) contents (0-12 mg C/I) were investigated. Alumina coated SiO2 NPs aggregated in all media and adsorbed phosphate depending on pH and NOM concentration. On the other hand, no aggregation or nutrient adsorption SNX-5422 research buy was observed for the bare SiO2 NPs. Due to their positive surface charge, alumina coated SiO2 NPs agglomerated with Pseudokirchneriella subcapitata. Consequently, algal cell density measurements based on cell counts were unreliable and hence fluorescent detection of extracted chlorophyll was the preferred method. Alumina coated SiO2 NPs showed lower toxicity than bare SiO2 NPs at concentrations >= 46 mg/l, except at pH 6.0. At low concentrations, no clear pH effect was observed for alumina coated SiO2 NPs. while at higher concentrations phosphate deficiency could have contributed to the higher toxicity of those particles at pH 6.0-6.8 compared to higher pH values. Bare SiO2 NPs were not toxic at pH 6.0 up to 220 mg/l. Addition of NOM decreased toxicity of both particles. For SiO2 NPs the 48 h 20% effect concentration of 21.8 mg/l increased 2.6-21 fold and a linear relationship was observed between NOM concentration and effective concentrations. No effect was observed for alumina coated SiO2 NPs in presence of NOM up to 1000 mg/l.

66 days; while the other

66 days; while the other SNX-5422 two QTLs mapped on chromosome 9 (one linked with Phi061 and the other linked with Nc134) decreased DTS 0.89 and 0.91 days, respectively. Under low N regime, two QTLs were mapped on chromosomes 6 and 9, which accounted for 25.9% of the phenotypic variance. Owing to additive effects, the QTL on chromosome 6 increased DTS 0.67 days, while the other QTL on chromosome 9 decreased it 1.48 days. The QTL on chromosome 6, flanked by

microsatellite markers Bnlg1600 and Phi077, was detected under both N regimes. In conclusion, we identified four QTLs, one on chromosome 6 and three on chromosome 9. These results contribute to our understanding of the genetic basis of DTS and will be useful for developing marker-assisted selection in maize breeding programs.”
“The papaya (Carica papaya L.) is a tropical fruit that is widely cultivated and consumed, both for its agreeable flavor as well as its many pharmacological properties. This review will discuss the fruit’s origin and principal growing regions in the world and will briefly explore its nutritional and pharmacological attributes. In addition, we will identify and comment on some of the most common physiological disorders that occur postharvest. Such disorders compromise the quality

of the fruit, bringing financial losses to the productive sector, along with serious economic and social consequences to papaya-growing countries. Among these disorders, physiological bruising, also known as “”skin freckles”", characterized MG-132 molecular weight by the appearance of blemishes on the fruit while still in its growth stage, is one of the main problems associated with the crop. Possible causes of and current information on bruising are dealt with in this article. Other physiological disorders of the papaya such as pulp flesh translucency, pulp softening, and hard lumps in papaya flesh are also discussed. (C) 2011 Elsevier Ltd. All rights reserved.”
“To gain beneficial effects Linsitinib clinical trial in the management of high-risk prostate cancer, an integrated approach that combines local therapy and androgen deprivation therapy (ADT) was used. We compared

biochemical responses between primary cryosurgical ablation of the prostate (CSAP) combined with prolonged ADT and radiation combined with ADT, which is the established modality in high-risk disease. A total of 33 high-risk patients received CSAP combined with ADT for 3 months before and up to 24 months after treatment. This patient group was matched with another 33 patients who had undergone three-dimensional conformal radiation therapy (3D-CRT) with the same protocol for ADT. Biochemical recurrence (BCR) was assessed by the American Society for Therapeutic Radiation Oncology (ASTRO) definition, the Phoenix definition and a prostate-specific antigen (PSA) cutoff of 0.5 ng mL(-1). Median follow-up was 61.0 +/- 11.9 months for the CSAP + ADT group and 86.0 +/- 15.8 months for the 3D-CRT + ADT group.

Methods: We have developed algorithms incorporating continuous, a

Methods: We have developed algorithms incorporating continuous, automated, digital ICP and CPP monitoring data into a pressure times time “”dose”" function. In this study, we calculated cumulative doses using thresholds of Entinostat ICP > 20 mm Hg and CPP < 60 mm Hg and graphed these as a Brain Trauma Index (BTI or CPP/ICP). Using receiver operator characteristics analysis, we examined BTI < 3 and BTI < 2 and various threshold levels of pressure times time doses of ICP and CPP as predictors of 30-day mortality and Extended Glasgow Outcome Scale (GOSE) < 5 at 6 months and 12 months. Using the data processing and analysis tools underlying

this work, we are also piloting a real-time bedside and telemetric display system as a means of indentifying and monitoring critical changes in physiologic metrics, including BTI, CPP, and ICP.

Results: Sixty subjects yielded 8678.1 hours of data (5,206,860 data points). BTI < 2 was better than CPP < 60 mm Hg in predicting unfavorable Extended Glasgow Outcome Scale at 6

months (p < 0.05). An example of linear and graphically processed BTI, CPP, and ICP data from a representative TBI patient is provided.

Conclusion: Calculation of a BTI from continuous digital data predicts outcome in severe TBI and has potential for the design of real-time bedside early warning systems.”
“Background: Patients with type 2 diabetes find more have increased stiffness of central elastic arteries. However, whether peripheral muscular artery stiffness is equally affected by the disease remains sparsely examined.

Moreover, the association between pulse wave velocity (PWV) and augmentation index (AIx) in diabetes is poorly understood.

Hypothesis: Type 2 diabetes is associated with the alterations in arterial stiffness (PWV and AIx) in a community-based population.

Methods: A total of 79 Chinese patients with type 2 diabetes and 79 sex-, age- (+/- 3 years), and body mass index- (+/- 2 kg/m(2)) matched healthy controls were studied. Carotid-femoral pulse wave velocity (CF-PWV), carotid-radial pulse wave velocity (CR-PWV), and carotid-ankle pulse wave velocity (CA-PWV) were calculated from tonometry waveforms and body surface measurements, whereas AIx was assessed using pulse wave analyses.

Results: In univariate analysis, patients with type 2 diabetes showed increased CF-PWV (P < 0.001), selleckchem CR-PWV (P = 0.012), and CA-PWV (P = 0.016), and lower AIx (P = 0.017) than the control group. In multiple linear regression models adjusting for covariates, type 2 diabetes remained a significant determinant of CF-PWV. Fasting glucose was associated with CR-PWV but was not related to CA-PWV or AIx.

Conclusions: Our findings suggest that patients with type 2 diabetes have increased central and peripheral artery stiffness, but preserved AIx compared to controls. Diabetes was a predictor of central artery stiffness, and glucose was a determinant of peripheral artery stiffness.”
“Objective.

Conclusions: Translation of the IPQ-R has good reliability and si

Conclusions: Translation of the IPQ-R has good reliability and similar structure to that of the original. Difficulties to confirm the structure of Causal Representations

may represent cultural differences in understanding illness causation. Copyright (C) 2009 John Wiley & Sons, Ltd.”
“Objective: To determine the efficacy of topical mitomycin and stenting in patients that have undergone endoscopic repair of choanal atresia.

Methods: Retrospective review of 37 endoscopic operations on pediatric patients for choanal atresia.

Results: Twenty-six sides were operated on in 17 patients; 37 total operations were performed. All 17 patients were repaired endoscopically with I patient requiring buy AZD2014 transpalatal revision surgery. Eight patients (47%) had a unilateral atresia and 9 (53%) were bilateral. Eleven total sides (42%) were treated initially with mitomycin. Eighteen percent of those sides required

post-operative dilation vs. 40% of the sides not treated with mitomycin (p = 0.39) and no patient in the mitomycin group required revision surgery compared to 20% of patients not treated with mitomycin (p = 0.24). Significantly fewer sides in the mitomycin MCC950 mw group (9%) developed granulation vs. those treated without (53%) (p = 0.03). The average number of procedures performed (1.18 vs. 2.53; p = 0.002) was significantly fewer in those patients treated with mitomycin vs. not. A greater amount of sides in the stent group developed granulation tissue (50% vs.0%; p = 0.023). The average number of procedures performed was significantly greater in those patients treated with a stent (2.33 vs. 1.12; p = 0.008). The average time spent in compound inhibitor the hospital was significantly shorter (7.09 vs. 2.33 days; p = 0.02) in those patients treated without stenting.

Conclusion: Topical mitomycin is efficacious as an adjuvant therapy as it was

associated with the formation of less granulation tissue, a lower rate of restenosis and fewer surgeries. Stenting was associated with significantly more procedures, greater formation of granulation tissue and longer overall hospital stays. However, consideration should be given toward stent placement in all neonates for the prevention of post-operative airway obstruction.

Level of evidence: 2c. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“Studies on different populations have suggested variability in individual susceptibility to altitude sickness depending on genetic makeup. The renin-angiotensin-aldosterone system (RAAS) pathway plays a key role in regulation of vascular tone and circulatory homeostasis. The present study was undertaken to investigate the possible association of the RAAS in the development of high-altitude pulmonary edema (HAPE) in lowlanders exposed to high altitude.