91; coefficient

91; coefficient VX-809 Transmembrane Transporters inhibitor alpha = 0.86; AUC = 0.74) and were sufficiently similar to values found with the initial sample. A cut-off score of 18 revealed a sensitivity of 0.80 and specificity of 0.52.\n\nConclusions: Results of this cross-validation study suggest that the psychometric parameters of the

SOAPP-R are not based solely on the unique characteristics of the initial validation sample. The SOAPP-R is found to be a reliable and valid screening tool for risk of aberrant drug-related behavior among chronic pain patients.”
“T helper (Th)17 cells might contribute to immunemediated renal injury. Thus, we sought to define the time course of IL-17A-induced kidney damage and examined the MK-8776 clinical trial relation between Th17 and Th1 cells in a model of crescentic anti-glomerular basement membrane glomerulonephritis. Renal injury and immune responses were assessed in wild-type and in IL-17A-deficient mice on days 6, 14, and 21 of disease development. On day 6, when

mild glomerulonephritis developed, IL-17A-deficient mice were protected from renal injury. On day 14, when more severe disease developed, protection from renal injury due to IL-17A deficiency was less evident. On day 21, when crescentic glomerulonephritis was fully established, disease was enhanced in IL-17A(-/-) mice, with increased glomerular T-cell accumulation and fibrin deposition, and augmented Th1 responses. Mice lacking the Th17-promoting cytokine, IL-23 (p19), also developed more severe disease than wild-type animals on day 21. In contrast, mice deficient in the key Th1-promoting cytokine, IL-12 (p35), had decreased Th1 and increased Th17 responses and developed less severe crescentic glomerulonephritis than wild-type animals. These studies show that IL-17A contributes to early glomerular injury, but it attenuates established crescentic glomerulonephritis by suppressing Th1 responses.

They provide further evidence that Th1 cells mediate crescentic injury in this model and that Th1 and Th17 cells counterregulate each LCL161 ic50 other during disease development. (Am J Pathol 2011, 179:1188-1198; DOI: 10.1016/j.ajpath.2011.05.039)”
“Context: The ability of combined dexamethasone-corticotropin releasing hormone (Dex-CRH) testing to distinguish pseudo-Cushing’s syndrome (PCS) from Cushing’s syndrome is controversial. One factor potentially impairing diagnostic efficacy is the concomitant use of commonly prescribed medications that may alter dexamethasone metabolism.\n\nObjective: Our objective was to assess the diagnostic accuracy of the Dex-CRH test and evaluate the potential impact of concomitant drugs.\n\nDesign: The study was a retrospective one.\n\nParticipants: Participants included 101 patients [60 Cushing's disease (CD); 41 PCS] who underwent 112 Dex-CRH tests.

We expect that the ability for ultrathin ta-C coated Ag nanoparti

We expect that the ability for ultrathin ta-C coated Ag nanoparticles as the SERS substrates to detect low concentrations of target biomolecules opens the door to the applications where it can be used as a detection tool for integrated, on-chip devices.”
“Background: Repotrectinib in vitro Purchasers can play an important role in eliminating racial and ethnic disparities in health care. A need exists to develop a compelling “business case” from the employer perspective to put, and keep, the issue of racial/ethnic disparities in health care on the quality improvement agenda for health plans and providers.\n\nMethods: To illustrate a method for calculating an employer business case for disparity reduction and to compare the

business case in two clinical areas, we conducted analyses HSP assay of the direct (medical care costs paid by employers) and indirect (absenteeism, productivity) effects of eliminating known racial/ethnic disparities in mammography screening and appropriate medication use for patients with asthma. We used Markov simulation models to estimate the consequences, for defined populations of African-American employees or health plan members, of a 10% increase in HEDIS mammography rates or a 10% increase in appropriate medication use among either adults or children/adolescents with asthma.\n\nResults: The savings per employed African-American woman aged 50-65 associated with a 10% increase in HEDIS mammography rate, from direct

medical expenses and indirect costs (absenteeism, productivity) combined, was $50. The findings for asthma Etomoxir were more favorable from an employer point of view

at approximately $1,660 per person if raising medication adherence rates in African-American employees or dependents by 10%.\n\nConclusions: For the employer business case, both clinical scenarios modeled showed positive results. There is a greater potential financial gain related to eliminating a disparity in asthma medications than there is for eliminating a disparity in mammography rates.”
“The purpose of the study was to quantify the impact that ultrasound (US) of the hands and feet has on the rheumatologists’ diagnostic confidence and on patient management.\n\nThere were 62 consecutive referrals from two rheumatologists for US of the hands and/or feet for this prospective controlled observational study. Measurements of diagnostic confidence for both specific clinical findings as well as overall diagnosis using a Likert scale were made both before and after the US examination in each case. Proposed management was also recorded before US and then with the benefit of the US result. McNemar’s test was performed to determine differences in diagnostic certainty and proposed management before and after US.\n\nThe physician certainty for specific clinical findings increased significantly following US for synovitis (9.7 vs 38.7%), tenosynovitis (9.7 vs 46.8%), erosions (1.6 vs 58.1%), enthesitis (50.0 vs 83.9%) and other (53.2 vs 77.4%).

33 Mb deletion of 1q21 3q23 3 (hg18; chr1: 153035245-159367106) i

33 Mb deletion of 1q21.3q23.3 (hg18; chr1: 153035245-159367106) in two siblings presenting with blepharophimosis, ptosis, microbrachycephaly, severe psychomotor, and intellectual disability. Additional common features include small corpus callosum, normal birth length and head circumference, postnatal growth restriction, low anterior hairline, upturned nose, bilateral preauricular pits, widely spaced teeth, gingival hypertrophy, left ventricular dilatation with decreased biventricular systolic function, delayed bone age, 5th finger clinodactyly, short 3rd digit, hyperconvex

nails, obstructive and central sleep apnea, and bilateral heel contractures. Fluorescence in situ hybridization (FISH) performed in the mother of both children learn more showed an apparently balanced, intrachromosomal insertional translocation of 1q21.3q23.3 to 1q42.12. Selleckchem mTOR inhibitor The sibling recurrence likely arose by a maternal meiotic crossing over on the rearranged chromosome 1 between the deleted region

and the insertion. We hypothesize that the decreased cardiac function and contractures may be related to LMNA haploinsufficiency. This case illustrates the importance of FISH when attempting to determine inheritance of a copy-number variation and emphasize the value of evaluating known haploinsufficiency phenotypes for genes in deleted regions. (C) 2012 Wiley Periodicals, Inc.”
“We found that the epigallocatechin gallate (EGCG)/epigallocatechin (EGC) ratio in a green tea (Camellia sinensis L.) extract was affected by the extraction temperature.

The EGCG/EGC ratio in the 4 degrees C extract was around 1:3-4, whereas selleck in the 100 degrees C extract, it was around 1:0.7. Oral administration of the mixture with a high EGC ratio (1:2-3 = EGCG/EGC) resulted in greater IgA production by murine Peyer’s patch cells.”
“Introduction: Group sex among gay men has been associated with other HIV risk behaviours. Gay men who engage in group sex may be at increased risk of infection with HIV and other sexually transmitted infections (STI).\n\nMethods: The Three or More Study (TOMS) of group sex among gay men utilised an anonymous, self-completed survey about participants’ most recent occasion of group sex with other men and in-depth interviews with a small number of these survey participants. The 436 men who reported having engaged in group sex within the previous month were included in these analyses.\n\nResults: Among 436 men who engaged in group sex within the previous month, 32.5% reported unprotected anal intercourse (UAI) with non-regular, mostly HIV non-seroconcordant partners at this recent group sex encounter (GSE) and the majority reported other sex practices that are risk factors for STI other than HIV. Over one-third reported having been tested for HIV or other STI since their last GSE; those who had engaged in UAI at the GSE were more likely to have been tested (p = 0.008).

Recent studies have clarified that conditions previously diagnose

Recent studies have clarified that conditions previously diagnosed as Mikulicz disease

as well as various types of lymphoplasmacytic infiltrative disorders of the ocular adnexa are consistent with a diagnosis of IgG4-related disease. Against this background, the diagnostic criteria for IgG4-related ophthalmic disease have recently been established, based on both the clinical and the histopathologic features of the ocular lesions. This article reviews these new criteria with reference to the comprehensive diagnostic criteria for IgG4-related disease for all systemic conditions reported in 2012.”
“Background: Interleukin (IL)-1 beta is a potent proinflammatory cytokine markedly overexpressed in the brains of patients with Alzheimer’s disease (AD), and also involved in development of atherosclerosis and coronary artery disease. Caspase-1 (CASP1), formerly called IL-1 beta converting enzyme (ICE), mediates the cleavage of selleck chemicals the inactive precursor of IL-1 beta into the biologically active form. CASP1 genetic variation (G+7/in6A, rs501192) has been associated with susceptibility to myocardial infarction and cardiovascular death risk. We examined the contribution of this gene to the susceptibility for

AD.\n\nMethods: We examined genetic variations of CASP1 by genotyping haplotype tagging SNPs (htSNPs) selleck chemicals llc (rs501192, rs556205 and rs530537) in a group of 628 Spanish AD cases and 722 A-1210477 mw controls.\n\nResults: There were no differences in the genotypic, allelic or haplotypic distributions between cases and controls in the overall analysis or after stratification by age, gender or APOE epsilon 4 allele.\n\nConclusion:

Our negative findings in the Spanish population argue against the hypothesis that CASP1 genetic variations are causally related to AD risk.”
“Natural killer (NK) cell responses are regulated by a dynamic equilibrium between activating and inhibitory receptor signals at the immune synapse (or interface) with target cells. Although the organization of receptors at the immune synapse is important for appropriate integration of these signals, there is little understanding of this in detail, because research has been hampered by the limited resolution of light microscopy. Through the use of superresolution single-molecule fluorescence microscopy to reveal the organization of the NK cell surface at the single-protein level, we report that the inhibitory receptor KIR2DL1 is organized in nanometer-scale clusters at the surface of human resting NK cells. Nanoclusters of KIR2DL1 became smaller and denser upon engagement of the activating receptor NKG2D, establishing an unexpected crosstalk between activating receptor signals and the positioning of inhibitory receptors. These rearrangements in the nanoscale organization of surface NK cell receptors were dependent on the actin cytoskeleton.

The nucleation kinetics, the nucleation barriers, and the density

The nucleation kinetics, the nucleation barriers, and the density for each site type have been determined. The discovery of multiple shear band nucleation sites challenges the current view of nucleation at a single type of site and offers opportunities for controlling the ductility of BMG alloys.”
“We compared the expression of CD123, the a chain of the interleukin-3 receptor, on normal B-cell precursors in bone marrow (“hematogones”) from 75 specimens and on leukemic blasts in 45 newly diagnosed B-acute lymphoblastic leukemias (B-ALL) cases. We

found that the less mature hematogones (dim CD45+) that express CD34 lack CD123 expression, whereas the more mature hematogones (moderate CD45+) lack CD34 but always express CD123. In contrast with this discordant pattern of CD34 and CD123 expression in hematogones, ICG-001 cell line blasts in 41 (91%) of 45 cases of B-ALL showed concordant expression of the 2 antigens: 80% (36 of 45) cases expressed both antigens, whereas 11% (5 of 45) expressed

neither. We found that these distinct patterns of CD34/CD123 expression on hematogones (discordant) and B-ALL blasts (concordant) remain stable after chemotherapy and are useful in differentiating small populations of residual blasts from hematogones that may be simultaneously present.”
“In teleosts, such as medaka, ossification of the vertebral column starts with the mineralization of the notochordal sheath in a segmental pattern. This establishes the chordal centrum, which serves as the basis for further ossifications by sclerotome derived osteoblasts generating the vertebral body. So far, it is unclear which cells produce the notochordal sheath and Epigenetics inhibitor how a segmental pattern of mineralization is established in teleosts. Here, we use a transgenic medaka line that expresses nIGFP under the control of the col10a1 promoter for in vivo analysis of vertebral body formation. We show

that col10a1:nlGFP expression recapitulates endogenous col10a1 expression. In the axial skeleton, col10a1:nlGFP cells appear prior to the mineralization of the notochordal sheath in a segmental pattern. These cells remain on the outer surface of the chordal centra during mineralization as well as subsequent perichordal ossification of the vertebral bodies. Using twist1a1:dsRed and osx:mCheny transgenic lines we show that a subset https://www.selleckchem.com/products/crenolanib-cp-868596.html of col10a1:nlGFP cells is derived from sclerotomal precursors and differentiates into future osteoblasts. For the first time, this shows a segmental occurrence of putative osteoblast precursors in the vertebral centra prior to ossification of the notochordal sheath. This opens the possibility that sclerotome derived cells in teleosts are implicated in the establishment of the mineralized vertebral column in a similar manner as previously described for tetrapods. (C) 2013 Elsevier Inc. All rights reserved.”
“Background and ObjectivesSynergistetes is a novel bacterial phylum consisting of gram-negative anaerobes.

The low-temperature sintering mechanism was ascribed to the forma

The low-temperature sintering mechanism was ascribed to the formation of the liquid phase owing to the reaction between the additive B2O3 and the residual SiO2 in the composite. B2O3-SiO2 liquid phases can not only lower the sintering temperature, but also speed up the grain growth of the composite ceramics. The rapid grain growth occurs as the B2O3 content is more than 6 wt. The 3 wt B2O3 doped 0.5Ba(3)(VO4)(2)-0.5Zn(1.87)SiO(3.87) ceramics can be well sintered at 925 degrees C and exhibit excellent microwave dielectric properties

of Qxf similar to 40,800 GHz, epsilon(r)similar to 10 and tau(f)similar to 0.5 ppm/degrees C. (C) 2012 Elsevier Ltd and Techna Group S.r.l. All rights reserved.”
“In this paper, the existence of weak solutions is established for a phase-field model of thermal alloys supplemented with Dirichlet boundary conditions. After that, the existence of global attractors for the associated multi-valued dynamical systems Selleckchem Cyclosporin A IPI-145 nmr is proved, and the relationship among these sets is established. Finally, we provide a more detailed description of the asymptotic behaviour of solutions via the omega-limit sets. Namely, we obtain a characterization

– through the natural stationary system associated to the model – of the elements belonging to the omega-limit sets under suitable assumptions. (C) 2011 Elsevier Ltd. All rights reserved.”
“The roles of ecological speciation and reinforcement in the formation of contemporary diversity remain contentious. In the present study, we contrast phenotypic and molecular divergence within morphologically diverged bimodal sympatric and allopatric pairs of rainbow

smelt, Osmerus mordax. We hypothesize that, in sympatry, evidence of selection associated with resource partitioning will be visible through strong divergence, reinforcement, and greater character displacement. Parallel morphological divergence was observed between the two trophic forms (macrophagous and microphagous), with several examples of greater trait divergence in sympatry than allopatry. Mitochondrial DNA sequence analysis indicated no association between historical clades and morphology; however, Bayesian clustering using microsatellites supported the isolation of these LB-100 price morphs under both allopatry and sympatry. Estimates of genetic isolation were one order of magnitude lower than measures of morphological divergence, consistent with a hypothesis of strong contemporary selection. Using experimental crosses, we obtained similar rates of fertilization success among the allopatric hybrid and pure crosses; whereas, in the sympatric hybrid crosses, fertilization rates dropped by 30-50%, suggesting a clear role for reinforcement through prezygotic incompatibilities. The present study supports the hypothesis that processes of post-glacial radiation and diversification differ between sympatry and allopatry, and indicates a role for reinforcement and ecological processes in recent sympatric diversification.

parapertussis, B bronchiseptica and B avium which are of high m

parapertussis, B. bronchiseptica and B. avium which are of high medical

or veterinary interest, and which, together with B. pertussis, are referred to as the “classical” Bordetella species. Only in the past 15 years, several additional species were classified in the genus, frequently isolated from patients with underlying disease, animals or from the environment. Very little is known about most of these bacteria. In the present review, the current knowledge about these “new” Bordetella species is briefly summarized.”
“Two GSK621 experimental parainfluenza type 3 virus (PI3V) challenge studies were undertaken to evaluate the efficacy of a single intranasal dose of an attenuated live vaccine containing modified live bovine respiratory syncytial Virus (BRSV) and temperature-sensitive PI3V in 3-week-old calves. In the first study, vaccine efficacy was evaluated in colostrum deprived calves. Nasal shedding of PI3V was highly significantly reduced in vaccinated calves challenged 10 days or 21 days after vaccination. In the second Study, vaccine efficacy was assessed in calves with maternal antibodies find more against PI3V by challenge 66 days post-vaccination. Vaccination also significantly reduced PI3V excretion after challenge in this study. In both studies, clinical signs after challenge were very mild and were not different

between vaccinated and control calves. (c) 2007 Elsevier Ltd. All rights reserved.”
“Spina bifida occurs when the neural tube fails to close during early fetal development, resulting in a range of neural tube defects (NTDs). The cause of spina bifida is not fully understood, but scientists believe that NTDs are the result of genetic and

environmental factors acting simultaneously. The Centers for Disease Control reports Nocodazole supplier that spina bifida and other NTDs occur more frequently in some ethnic groups, such as Hispanic people, than in others. The United States is increasingly multicultural and diverse, and it is becoming more difficult to categorize individuals into a single racial/ethnic group. This article uses the term ethnicity as defined by the Institute of Medicine and avoids using race unless part of a particular study.”
“Background: Behcet’s disease is a systemic vasculitis disorder of unknown aetiology. Ocular involvement, especially with vasculitis, is detected in up to 80% of the cases. Anterior segment involvement such as cataract is also seen in the follow-up of patients who are then treated surgically. In this study, we aimed to analyze the outcomes of cataract surgery in patients with Behcet’s disease retrospectively.\n\nPatients and Methods: The records of 9 patients (12 eyes) with Behcet’s disease who underwent phacoemulsification with IOL implantation in 11 eyes and extracapsular cataract extraction (ECCE) with IOL implantation in one eye between June 2001 and September 2009 were evaluated retrospectively. The visual outcome and complications were analysed.\n\nResults: The mean follow-up was 33.

Conclusions: Information on indications and dosages were usua

\n\nConclusions: Information on indications and dosages were usually provided by pharmaceutical

representatives in Australia and Malaysia. However, risk and harmful effects of medicines were often missing in their presentations. Effective control of medicines information provided by pharmaceutical representatives is needed.”
“AIM: Our study focuses on the approach, management and treatment of patients with polythelia and supernumerary breast and the target is the search for a treatment algorithm for these diseases.\n\nMATERIAL OF STUDY: We considered at 18 patients treated from 2006 to 2011 for breast congenital anomalies in excess. 14 surgical procedures were performed, 8 for supernumerary nipple excision (1 case associated with Poland Syndrome) and 6 for accessory breast ablation. All patients were aged between 15 and 34 years and belonged to both sexes.\n\nRESULTS: The breast tissue it was detected fibrocystic ASP2215 purchase mastopathy in 5 cases of polimastia. In the remaining cases the nipples and mammary tissues were normal. After a median follow-up from one to five years, we obtained in all cases not only an excellent aesthetic result but also a psychological.\n\nDISCUSSION: The supernumerary breast tissue is not just a cosmetic problem, it is also subject to the same pathological lesions that are observed in a normal breast. In view

of thepotential malignant transformation of anomalous breast incidentally, early Doramapimod clinical trial and accurate diagnosis is required as well as its monitoring over time.\n\nCONCLUSIONS. We therefore believe that surgical approach is always necessary in cases of polimastia, while considering options in the treatment of polythelia, where it becomes crucial if aesthetic and/or psychologically problems in the patient coexist.”
“Neurons have highly polarized arrangements of microtubules, SIS3 order but

it is incompletely understood how microtubule polarity is controlled in either axons or dendrites. To explore whether microtubule nucleation by gamma-tubulin might contribute to polarity, we analyzed neuronal microtubules in Drosophila containing gain-or loss-of-function alleles of gamma-tubulin. Both increased and decreased activity of gamma-tubulin, the core microtubule nucleation protein, altered microtubule polarity in axons and dendrites, suggesting a close link between regulation of nucleation and polarity. To test whether nucleation might locally regulate polarity in axons and dendrites, we examined the distribution of gamma-tubulin. Consistent with local nucleation, tagged and endogenous gamma-tubulins were found in specific positions in dendrites and axons. Because the Golgi complex can house nucleation sites, we explored whether microtubule nucleation might occur at dendritic Golgi outposts. However, distinct Golgi outposts were not present in all dendrites that required regulated nucleation for polarity.

The G199R substitution is anticipated to alter the stability of t

The G199R substitution is anticipated to alter the stability of the p53 tetrameric complex. The role of UV light in the etiology of sebaceous carcinoma deserves further study. Our findings, taken together with those of others, suggest that different environmental factors could lead to the development of sebaceous carcinoma in different patients.”
“We report on a 46-year-old athletic patient, previously treated with ATM Kinase Inhibitor anterior cruciate ligament reconstruction, with large degenerative chondral lesions of the medial femoral condyle, trochlea and patella, which was successfully treated with

a closing-wedge high tibial osteotomy and the implant of a newly developed biomimetic nanostructured osteochondral bioactive scaffold. After 1 year of follow-up the patient was pain-free, had full knee range of motion, and had returned to his pre-operation level of athletic activity. MRI evaluation at 6 months showed that the implant gave a hyaline-like signal as well as a good restoration of the articular surface, with minimal subchondral bone oedema. Subchondral oedema was almost non-visible at 12 months.”
“Degradation BAY 80-6946 in vitro of IFN receptor (IFNR) protein is one of the mechanisms to limit the extent of cellular

responses to interferons. Tyrosine kinase 2 (TYK2), a JAK family kinase, has been reported to bind to and stabilize IFNR, indicating that TYK2 is a fundamental component of IFNR complex. Herein, we identified Jun activation domain-binding protein 1 (JAB1) as a new TYK2 binding partner and investigated its role in the regulation of IFN responses. siRNA knockdown of JAB1 resulted in suppression of IFN-induced phosphorylation of STAT proteins and their transcriptional activation. Importantly, JAB1 knockdown induced the activation of SCF see more ubiquitin ligase complex containing Cullin 1 (CUL1), as judged by the enhancement of covalent modification of CUL1 with the ubiquitin-like protein NEDD8, and markedly reduced the basal protein level of IFNR. In contrast, NEDD8

knockdown or inhibition of NEDD8 modification by NEDD8-activating enzyme inhibitor resulted in increased IFNR protein concomitantly with a reduction of NEDD8-modified CUL1. Furthermore, NEDD8-activating enzyme inhibitor treatment enhanced the susceptibility to IFN-alpha in HeLa cells. These data suggest that the NEDD8 modification pathway is involved in the proteolysis of IFNR and that JAB1 acts as a positive regulator of IFN responses by stabilizing IFNR through antagonizing the NEDD8 pathway.”
“Gastrointestinal lymphoma is the most common form of lymphoma in the cat. More recently, an ultrasonographic pattern associated with feline small cell T-cell gastrointestinal lymphoma has been recognized as a diffuse thickening of the muscularis propria of the small intestine. This pattern is also described with feline inflammatory bowel disease.

The results were evaluated by weighted statistics for two observ

The results were evaluated by weighted. statistics for two observers. Results The level of interobserver agreement between WSI and CLM evaluations was almost perfect (kappa check details value: 0.914; 95% CI 0.879 to 0.949) and increased during the study period:. value 0.890; 95% CI 0.835 to 0.945 in the first period and 0.941; 95%; CI 0.899 to 0.983 in the second period. Major discrepancies (differences in clinical management or prognosis) were observed in 9 cases (2.0%). All discrepancies consisted of small lesions (8 high grade squamous intraepithelial lesions of the uterine cervix, one lymph node micrometastasis of an ovarian carcinoma)

underdiagnosed or missed in the WSI or the CLM evaluation. Discrepancies with no or minor clinical relevance were identified in 3.8% of the biopsies. No discrepancy was related to the poor quality of the WSI image. Conclusions Diagnosis of gynaecological specimens by WSI is accurate and may be introduced into routine diagnosis.”
“Containment can be a viable strategy for managing invasive plants, but it is not always cheaper than eradication. In many cases, converting a failed eradication programme to a containment programme is not economically justified. Despite this, many contemporary invasive plant management strategies invoke containment find more as a fallback for failed eradication, often without detailing how containment would be implemented. We demonstrate a generalized

analysis of the costs of eradication and containment, applicable to any plant invasion for which infestation size, dispersal distance, seed bank lifetime and the economic discount rate are specified. We estimate the costs of adapting eradication and containment in response to six types of breach and calculate under what conditions containment may provide a valid fallback to a breached eradication programme. We provide simple, general formulae and plots that can be applied to any invasion and

show that containment will be cheaper than eradication only when the size of the LCL161 manufacturer occupied zone exceeds a multiple of the dispersal distance determined by seed bank longevity and the discount rate. Containment becomes proportionally cheaper than eradication for invaders with smaller dispersal distances, longer lived seed banks, or for larger discount rates. Both containment and eradication programmes are at risk of breach. Containment is less exposed to risk from reproduction in the occupied zone’ and three types of breach that lead to a larger occupied zone’, but more exposed to one type of breach that leads to a larger buffer zone’. For a well-specified eradication programme, only the three types of breach leading to reproduction in or just outside the buffer zone can justify falling back to containment, and only if the expected costs of eradication and containment were comparable before the breach.Synthesis and applications.