The analysis of the CpG site located at the upstream USF-binding

The analysis of the CpG site located at the upstream USF-binding site in the promoter showed a strong correlation between expression and demethylation. It was also shown that exon I a transcription was induced in cell culture treated with the demethylating agent decitabine. The specific methylation of this CpG site impaired both the binding of USE and the formation of the functional NF-Y USF complex as well as promoter activity, suggesting

its importance for cell-specific transcription. Thus CpG methylation at the upstream USF-binding site functions in establishing and maintaining cell-specific transcription from the CpG-poor SVCT2 ex on 1a promoter.”
“Raman Nepicastat cell line imaging of plant cell walls represents a nondestructive technique that can provide insights into chemical composition in context with structure at the micrometer level (<0.5.mu m). The major steps of the experimental procedure are described: sample preparation (embedding and microcutting), setting the mapping parameters, and finally the calculation of chemical images on the basis of the acquired Raman spectra. Every Raman image is based on thousands of spectra, each being a spatially resolved molecular ‘fingerprint’ of the cell wall. Multiple components are analyzed within the native cell walls, and insights into

polymer composition as well as the orientation of the cellulose microfibrils can be gained. The most labor-intensive step of this process is often the sample preparation, as the imaging approach PU-H71 nmr requires a flat surface of the plant tissue with intact cell walls. After finishing the map (acquisition time is similar to 10 min to 10 h, depending

on the size of the region of interest and scanning parameters), many RSL3 clinical trial possibilities exist for the analysis of spectral data and image generation.”
“Objective. The objective of this study was to describe heart rate turbulence (HRT) in advanced heart failure (HF) patients and in a group of patients who underwent heart transplantation (HT).\n\nMaterials and Methods. We performed 24-hour Holter recordings in 20 patients with advanced HF referred to our hospital for HT, including 16 males of overall mean age of 44 +/- 13 years and with a mean ejection fraction (EF) 21 +/- 7%. An additional set of recordings was obtained in a second group of 27 patients who had already undergone HT, including of 21 males of overall mean age of 47 +/- 14 years. We recorded the number of premature ventricular contractions (PVCs), mean heart rate (MHR), and 2 parameters of HRT-turbulence onset (TO) and turbulence slope (TS).\n\nResults. Patients with HT showed a low density of premature ventricular complexes, in contrast to patients in the advanced HF group. For this reason, HRT could only be analyzed in 15 of the patients with advanced HF (66%) and in 10 of the patients who underwent HT (37%). MHR was 77 +/- 10 bpm in the advanced HF group and 90 10 bpm in the HT group.

6% The overall [F-18]FDG PET/CT patient-based sensitivity, speci

6%. The overall [F-18]FDG PET/CT patient-based sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 57.1, 100.0, 100.0, 86.4, and 88.5%, respectively, for revealing lymph nodal neoplastic involvement, and 100.0, 96.0, 87.5, 100.0, 96.9%, respectively, for detecting distant metastases. In particular, while the suspicion of distant metastases was documented by conventional imaging see more in only two patients,

[F-18]FDG PET/CT correctly identified metastatic lesions in seven patients (21.9% of cases).\n\nConclusion The major benefit provided in high-grade tumor patients by the use of [F-18]FDG PET/CT in the primary staging of endometrial cancer is its ability to accurately detect distant metastases in the abdomen and extra-abdominal regions. [F-18]FDG PET/CT adds relevant information that may influence patient management. Nucl Med Commun 31: 506-512 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.”
“Camara A.C.L., Afonso J.A.B., Costa N.A., Mendon a C.L., Souza M.I. & Borges J.R.J. 2010. [Risk factors, clinical

and laboratorial findings and therapeutic evaluation in 36 cattle with abomasal displacement.] GW786034 in vivo Fatores de risco, achados clinicos, laboratoriais e avaliacao terapeutica em 36 bovinos com deslocamento de abomaso. Pesquisa Veterinaria Brasileira 30(5):453-464. Programa de Pos-Graduacao em Sa de Animal, Faculdade de Agronomia e Medicina Veterinaria, Universidade de Brasilia, 70636-200 Brasilia, DF, Brazil. E-mail: [email protected]\n\nThe continuous genetic selection for high milk production in association with greater digestive capacity and corporal depth increases the susceptibility

for abomasopathies including abomasal displacement. The present work aimed to accomplish a retrospective study on abomasal displacement in 36 cattle attended at Bovine Clinic, Garanhuns Campus, Federal Rural University of Pernambuco, through January 2000 to February 2009. Twenty seven cases of right abomasal displacement, six cases of left abomasal displacement and three of abomasal volvulus were diagnosed. Eleven moderate cases, without severe abdominal distention, appetite for roughage and metallic sound (“ping”) reaching 4-Hydroxytamoxifen clinical trial at the most the 8(th) intercostal space were treated conservatively, and 20 severe cases with moderate to severe abdominal distention associated to systemic disturbances were treated surgically. Two cows were euthanized due to diffuse peritonitis or severe alterations in the abomasal serosa totalizing 18 animals submitted to the surgical treatment. Two animals were slaughtered and three cows arrived prostrated and died without receiving any treatment. Risk factor analysis identified rainy season as statistically significant. The greater number of abomasal displacement was in crossbred cows with 24 cases (66.6%), followed by Holstein and Gir cattle with 11 (30.5%) and one (2.9%) cases, respectively.

Finally, SC-1 reduced Huh-7 tumor growth significantly in vivo, w

Finally, SC-1 reduced Huh-7 tumor growth significantly in vivo, which was associated with down-regulation of p-STAT3 and up-regulation of SHP-1 activity.\n\nConclusions:

STAT3 is a major kinase-independent target of sorafenib in HCC. (C) 2011 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.”
“The design of molecular electrocatalysts for H-2 oxidation and production is important for the development of alternative renewable energy sources that are abundant, inexpensive, and environmentally benign. Recently, nickel-based molecular electrocatalysts with pendant amines that act as proton relays for the nickel center LY2835219 nmr were shown to effectively catalyze H-2 oxidation and production. Blebbistatin nmr We developed a quantum mechanical approach for studying proton-coupled electron transfer processes in these types of molecular electrocatalysts. This theoretical approach is applied to a nickel-based catalyst in which phosphorous atoms are directly bonded to the nickel center, and nitrogen atoms of the ligand rings act as proton relays. The catalytic step of interest involves electron transfer between the nickel complex and the electrode as well as intramolecular

proton transfer between the nickel and nitrogen atoms. This process can occur sequentially, with either the electron or proton transferring first, or concertedly, with the electron and proton transferring simultaneously without a stable intermediate. The electrochemical rate constants are calculated as functions of over-potential for the concerted electron-proton transfer reaction and the two electron transfer reactions in the sequential mechanisms. Our calculations illustrate that the concerted electron-proton transfer standard rate constant will

increase as the equilibrium distance between the nickel and nitrogen atoms decreases and as the pendant amines become more flexible to facilitate the contraction of this distance with a lower energy penalty. This approach identifies the favored mechanisms under various experimental conditions and provides insight into the impact of substituents on the nitrogen and phosphorous atoms.”
“Background and objectives Approximately 70% of illicit cocaine consumed in the United States is contaminated with levamisole. Most commonly used as MK5108 chemical structure a veterinary antihelminthic agent, levamisole is a known immunomodulating agent. Prolonged use in humans has been associated with cutaneous vasculitis and agranulocytosis. We describe the development of a systemic autoimmune disease associated with antineutrophil cytoplasmic antibodies (ANCA) in cocaine users. This complication appears to be linked to combined cocaine and levamisole exposure.\n\nDesign, setting, participants, & measurements Cases were identified between March 2009 and November 2010 at Massachusetts General Hospital’s ANCA laboratory. Cocaine exposure was identified from patient history in all cases.

The cytotoxicity, mechanism of cell death, mitotic activity, and

The cytotoxicity, mechanism of cell death, mitotic activity, and reactive oxygen species (ROS) generation were determined by tetrazolium bromide reduction assay, flow cytometry, cytokinesis-block proliferation index, and superoxide dismutase-inhibitable reduction of ferricytochrome c, respectively. The genotoxicity was measured using Alvocidib chemical structure comet assay and cytokinesis-block micronucleus assay. The cytotoxicity of CHX in RAW264.7 cells presented a dose- and time-dependent manner (p smaller than 0.05). The mode of cell death shifted from apoptosis to necrosis when the dosage of CHX increased. The genotoxicity of CHX in RAW264.7 cells had shown

DNA damage in a dose-dependent manner (p smaller than 0.05). Prolongation of cell cycle and the increase of ROS generation also expressed in a dose-dependent manner (p smaller than 0.05). Taken together, the data suggested that CHX-induced cytotoxicity and genotoxicity on macrophages may be via ROS generation. (c) 2012 Wiley Periodicals, Inc. Environ see more Toxicol 29: 452-458, 2014.”
“In this paper, I discuss the discovery of the DNA structure by Francis Crick and James Watson, which has provoked a large

historical literature but has yet not found entry into philosophical debates. I want to redress this imbalance. In contrast to the available historical literature, a strong emphasis will be placed upon analysing the roles played by theory, model, and evidence and the relationship between them. In particular, I am going to discuss not only Crick and Watson’s well-known model and Franklin’s x-ray diffraction pictures (the evidence) but also the less well known theory of helical diffraction, which was absolutely crucial to Crick and Watson’s discovery. The insights into this groundbreaking BTK inhibitor price historical episode will have consequences for the ‘new’ received view of scientific models and their function and relationship

to theory and world. The received view, dominated by works by Cartwright and Morgan and Morrison ([1999]), rather than trying to put forth a ‘theory of models’, is interested in questions to do with (i) the function of models in scientific practice and (ii) the construction of models. In regard to (i), the received view locates the model (as an idealized, simplified version of the real system under investigation) between theory and the world and sees the model as allowing the application of the former to the latter. As to (ii) Cartwright has argued for a phenomenologically driven view and Morgan and Morrison ([1999]) for the ‘autonomy’ of models in the construction process: models are determined neither by theory nor by the world. The present case study of the discovery of the DNA structure strongly challenges both (i) and (ii). In contrast to claim (i) of the received view, it was not Crick and Watson’s model but rather the helical diffraction theory which served a mediating purpose between the model and the x-ray diffraction pictures.

In addition, there are only few studies describing the presence o

In addition, there are only few studies describing the presence of abortive enamel in AOT and, to our knowledge, CCOT was not present in any of them. We described a rare case of AOT associated with CCOT and abortive enamel formation in a 2-year-old child, a condition not well described in the international literature. Secretory cell activity was assessed by periodic acid-Schiff and Congo red stains.”
“Accurate positioning of a moving vehicle along a route enables various applications, such as SNS-032 chemical structure travel-time estimation, in transportation. Global Positioning System (GPS)-based localization algorithms suffer from low availability and high energy consumption. A received

signal strength indicator (RSSI) measured in the course of the normal BMS-345541 order operation of Global System for Mobile Communications (GSM)-based mobile phones, on the other hand, consumes minimal energy in addition to the standard cell-phone operation with high availability but very low accuracy. In this paper, we incorporate the fact that the motion of vehicles satisfies route constraints to improve the accuracy of the RSSI-based localization by using a hidden Markov model (HMM), where the states are segments on the road, and the observation at each state is the RSSI vector containing

the detected power levels of the pilot signals sent by the associated and neighboring cellular base stations. In contrast to prior HMM-based models, we train the HMM based on the statistics of the average driver’s behavior on the road and the probabilistic distribution of the RSSI vectors observed in each road segment. We demonstrate that this training considerably improves the accuracy of the localization and provides localization performance robust over different road segment lengths by using extensive cellular data collected in Istanbul, Turkey; Berkeley, CA, USA; and New Delhi, India.”
“Statolith trace elemental concentrations can be used

as natural tracers to better understand life history and stock structure of squid. A highly variable Humboldt squid population TGF beta inhibitor was targeted to determine if ontogenic patterns could be revealed and to compare variations among squid collected from three geographic areas. Statoliths from Humboldt squid collected off Westport, WA; Oceanside, CA; and the Galapagos Islands were sampled for ten trace elements using laser ablation inductively coupled plasma mass spectrometry. Similar patterns were found for some elements despite geographic collection site distances indicating a potential to explain ontogenic shifts experienced by this species. Other elements displayed high variation in spatial pattern, which suggests the potential to distinguish among the squid collected from the three geographic regions and better understand stock structure.

RESULTS We identified two principal components of teaching effect

RESULTS We identified two principal components of teaching effectiveness: charisma and intellect. There was no association between rating of intellect and TER. Rating of charisma and the display of an attractive photograph were both positively associated with TER and a significant interaction between these two variables was apparent (p smaller than 0.001). The regression coefficient for the association between charisma and TER was 0.26 (95% confidence interval [CI] 0.10-0.41) when an attractive picture was displayed

and 0.83 (95% CI 0.66-1.00) when an unattractive picture was displayed (p smaller than selleck products 0.001). CONCLUSIONS When medical students rate classroom teachers, they consider the degree to which the teacher is charismatic, although the relationship between this attribute and TER appears to be modified by the perceived physical attractiveness of the teacher. Further studies are needed to identify other variables that may influence subjective ratings of teaching effectiveness and to

evaluate alternative strategies for rating teaching effectiveness.”
“The concern regarding the ecotoxicological effects of nanomaterials in the terrestrial environment Mocetinostat in vitro is increasing. Against this background, several studies have investigated the effects of different nanomaterials on various earthworm species. Since the earthworm is a representative

invertebrate present in soil and occupies an important trophic level, many studies have MEK inhibitor focused on earthworms. Understanding how and why nanoparticles are toxic to organisms is important to nanotoxicologists and ecotoxicologists. We have collated information from studies on the toxicity of metal- and carbon-based nanomaterials to earthworms in the soil matrix, and trends in the adverse effects of nanomaterials on earthworms were analyzed. Most studies showed that the survival and growth of adult earthworms are negligibly affected by nanomaterials in the soil. However, many studies reported that nanomaterials may result in a reduction in the reproductive activity. This study presents an intensive overall view of the ecotoxicological impact of nanomaterials on earthworms at the organism, cellular, and molecular levels.”
“Increased amyloidogenic processing of the amyloid-beta protein precursor (A beta PP) is a characteristic of Alzheimer’s disease (AD). We previously observed that the prolyl isomerase Pin1, which is down-regulated in AD, regulates A beta PP conformation accelerating cis/trans isomerization of the phospho-Thr668-Pro669 peptide bond, and that Pin1 knockout in mice increases the amyloidogenic processing of A beta PP, although the underlying mechanism is still unknown.

Histological observation revealed the cell length of srt7 mutant

Histological observation revealed the cell length of srt7 mutant roots was significantly shorter than that of wild-type roots. Genetic analysis indicated the short root phenotype was controlled Crenolanib price by a single recessive nuclear gene. The SRT7 gene was mapped to a 20-kb interval between the markers STS6 and STS7 on chromosome 4 by a map-based cloning method. Sequencing of the six predicted genes in this region found that all of the three allelic mutants contained a 1-bp or 2-bp deletion in the

same gene encoding a putative membrane-bound endo-1,4-beta-glucanase. The SRT7 gene was expressed ubiquitously, with higher levels of transcript accumulation in roots at different developmental stages. However, no difference was found in the SRT7 transcription level between the mutant and wild type. Collectively, these results indicate the endo-1,4-beta-glucanase encoding gene (LOC_Os04g41970) is likely the candidate for SRT7 that functions posttranscriptionally in rice root elongation.”
“The liver is a central organ that controls systemic energy homeostasis and nutrient metabolism. Dietary carbohydrates and lipids, and fatty acids

derived from adipose tissue are delivered to MI-503 the liver, and utilized for gluconeogenesis, lipogenesis, and ketogenesis, which are tightly regulated by hormonal and neural signals. Hepatic lipogenesis is activated primarily by insulin that is secreted from the pancreas after a high-carbohydrate meal. Sterol regulatory element binding protein-1c (SREBP-1c) and carbohydrate-responsive element-binding protein (ChREBP) are major transcriptional regulators that induce key lipogenic enzymes to promote lipogenesis in the liver. Sterol regulatory element binding protein-1c

is activated by insulin through complex signaling cascades that control SREBP-1c at both transcriptional and posttranslational levels. Carbohydrate-responsive element-binding protein is activated by glucose independently of insulin. Here, the authors attempt to summarize the current understanding of the molecular mechanism for the transcriptional find more regulation of hepatic lipogenesis, focusing on recent studies that explore the signaling pathways controlling SREBPs and ChREBP.”
“Development of screening programs in patients with high risk of developing esophageal cancer, as well as recent advances in diagnostic endoscopic techniques, have allowed clinicians to improve early detection of esophageal malignant tumors. Surgical resection, although currently considered as the standard of care for patients with early stage esophageal cancer, is sometimes contra-indicated. In this subset of patients, endoscopic resection techniques including endoscopic mucosa! resections (EMR), thermal or non-thermal laser, or cryoablation are amongst the well-recognized modalities safely and efficiently used by gastroenterologists.

This is

This is selleck chemical also reflected by the frequent loss of the INK4A locus in acute lymphoblastic T-cell leukemia. T-cell acute lymphoblastic

leukemia cells designed to conditionally express p16(INK4A) arrest in the G(0)/G(1) phase of the cell cycle and show increased sensitivity to glucocorticoid-and tumor necrosis factor receptor superfamily 6-induced apoptosis. To investigate the underlying molecular mechanism for increased death sensitivity, we interfered with specific steps of apoptosis signaling by expression of anti-apoptotic proteins. We found that alterations in cell death susceptibility resulted from changes in the composition of pro-and anti-apoptotic BCL2 proteins, i.e. repression of MCL1,

BCL2, and PMAIP1/Noxa and the induction of pro-apoptotic BBC3/Puma. Interference with Puma induction by short hairpin RNA technology or retroviral expression of MCL1 or BCL2 significantly reduced both glucocorticoid-and FAS-induced cell death in p16(INK4A) reconstituted leukemia cells. These results suggest that Puma, in concert with MCL1 and BCL2 repression, critically mediates p16(INK4A) induced death sensitization and that in human T-cell leukemia the deletion of p(16INK4A) confers apoptosis resistance by shifting the balance of pro-and anti-apoptotic GW786034 BCL2 proteins toward apoptosis protection.”
“Context: Rare haplotypes with Q318X mutations and duplicated CYP21A2 genes have been reported to occur in different

populations to a varying extent. Discrimination between a normal (Q318X mutation on one of the duplicated CYP21A2 genes) and a congenital adrenal hyperplasia (CAH, Q318X mutation without duplicated functional gene) allele is of importance, particularly for prenatal diagnosis and the respective genetic counseling. Although methods to differentiate between such alleles have been published only recently, GSK621 it remains unclear with which frequency Q318X mutations are associated with duplicated CYP21A2 genes and whether these haplotypes have a common ancestry.\n\nSubjects and Methods: Human leukocyte antigen (HLA) typing has been performed in 38 unrelated individuals and in 11 family members detected to carry a Q318X mutation in the course of CYP21 genotyping using sequence, multiplex ligation-dependent probe amplification, and Southern blot analyses.\n\nResults: The majority (n = 32, 84.2%) of the 38 unrelated individuals carrying the Q318X mutation had the trimodular RCCX haplotype, carrying the Q318X mutation on a duplicated CYP21A2 gene. Twenty-two individuals of these 32 (68.8%) were of the rare HLA-B*50-Cw*06 haplotype, suggesting a common ancestry of this haplotype. In five (13.2%) of the 38 subjects, the Q318X mutation was not associated with a duplicated CYP21A2 gene and thus represents a CAH allele. None of these five patients had the above mentioned HLA haplotype.

Among the 16 patients with recurrences, in 10 a cryoablation redo

Among the 16 patients with recurrences, in 10 a cryoablation redo was successful and with no further AP recurrences. The mean fluoroscopy time was 28.4 min

(range 19.744.6) with a significant decrease (P 0.033) in relation to the increase of the institutional experience. There were no permanent ablation-related complications.\n\nCryoablation of right-sided AP is effective and very safe in children. Better results are achieved in manifest AP. The learning curve has a real impact in the attempt to reduce the fluoroscopy time.”
“The Self-reference effect (SRE) on long-term episodic memory and autonoetic consciousness has been investigated in young adults, scarcely in older adults, but never in Alzheimer’s patients. Is the functional influence of Self-reference still present when the individual’s memory and identity are impaired? We LEE011 investigated this issue in 60 young subjects, 41 elderly subjects, and 28 patients with Alzheimer’s disease, by using 1) an incidental learning LY411575 mouse task of personality traits in three encoding

conditions, inducing variable degrees of depth of processing and personal involvement, 2) a 2-minute retention interval free recall task, and 3) a 20-minute delayed recognition task, combined with a remember-know paradigm. Each recorded score was corrected for errors (intrusions in free recall, false alarms in recognition, and false source memory in remember responses). Compared with alternative encodings, the Self-reference significantly enhanced performance on the free recall task in the young group, and on the recognition task both in the young and older groups

but not in the Alzheimer group. The most important finding in the Alzheimer group is that the Self-reference led the most often to a subjective sense of remembering (especially for the positive words) with the retrieval of the correct encoding source. This Self-reference recollection effect in patients was related to independent subjective measures of a positive and definite sense of Self (measured by the KU-57788 DNA Damage inhibitor Tennessee Self Concept Scale), and to memory complaints in daily life. In conclusion, these results demonstrated the power and robustness of the Self-reference effect on recollection in long-term episodic memory in Alzheimer’s disease, albeit the retrieval is considerably reduced. These results should open new perspectives for the development of rehabilitation programs for memory deficits.”
“Titanite is an ideal mineral for U-Pb isotopic dating because of its relatively high U, Th and Pb contents. Here, we developed a technique for U-Pb dating of titanite using the 193 nm ArF laser-ablation system and Agilent 7500a Q-ICP-MS. Standards of titanite (BLR-1 and OLT-1) and zircon (91500 and GJ-1) were dated using single spot and line raster scan analytical methods. To check the matrix effect, titanite (BLR-1) and zircon (91500) standards were analyzed as the external standards.

(C) 2014 Elsevier Ltd All rights reserved “
“Background Der

(C) 2014 Elsevier Ltd. All rights reserved.”
“Background Dermatofibrosarcoma protuberans (DFSP) is a rare

malignant cutaneous tumour of which diagnosis is often delayed because of the lack of early clinical clues.\n\nObjectives To describe the main dermoscopic features of DFSP.\n\nMethods We performed dermoscopic examination in 15 unselected, consecutive cases of biopsy-proven DFSP. Firstly, six dermoscopic features were identified collegially, then all cases were reviewed separately by six experienced dermoscopists. In a given lesion, features recognized only by all dermoscopists were taken into account.\n\nResults The median number of dermoscopic features was four per lesion. The following LXH254 in vitro dermoscopic features were found: delicate pigmented network (87%), vessels (80%), structureless light brown areas

(73%), shiny white streaks (67%), pink background coloration (67%) and structureless hypo- or depigmented areas (60%). When detected, vessels were of arborizing type in 11 of 12 cases, and presented as either unfocused only, or both unfocused and focused.\n\nConclusions This first study of the dermoscopic spectrum of DFSP identifies six dermoscopic features (often associated in a multicomponent pattern) and a peculiar vascular pattern. Whether dermoscopy can help to identify suspected DFSP remains to be established Omipalisib by further studies.”
“X-linked Sideroblastic Anemia (XLSA) is the most common genetic form of sideroblastic anemia, a heterogeneous group of disorders characterized by iron deposits in the mitochondria of erythroid precursors.

XLSA is due to mutations in the erythroid-specific 5-aminolevulinate synthase (ALAS2) gene. Thirteen different ALAS2 mutations were identified in 16 out of 29 probands with sideroblastic anemia. One third of the patients were females with a highly skewed X-chromosome inactivation. The identification of seven novel mutations in the ALAS2 gene, six missense mutations, and one deletion in the proximal promoter extends the allelic heterogeneity of XSLA. Most of the missense mutations were predicted to be deleterious, and 10 of them, without PLX3397 molecular weight any published functional characterization, were expressed in Escherichia coli. ALAS2 activities were assayed in vitro. Five missense mutations resulted in decreased enzymatic activity under standard conditions, and two other mutated proteins had decreased activity when assayed in the absence of exogenous pyridoxal phosphate and increased thermosensitivity. Although most amino acid substitutions result in a clearly decreased enzymatic activity in vitro, a few mutations have a more subtle effect on the protein that is only revealed by in vitro tests under specific conditions. Hum Mutat 32: 590-597, 2011. (C) 2011 Wiley-Liss, Inc.”
“Background: Hepatocellular carcinoma (HCC) is one of the world’s leading causes of death among cancer patients.