Main methods: Animals were fed an ethanol liquid diet or isoc

\n\nMain methods: Animals were fed an ethanol liquid diet or isocaloric control diet for 5 weeks. Isolated perfused rat livers were preserved in Histidine-Tryptophan-Ketoglutarate at 4 degrees C. After 24 h of storage, livers were subjected to 120 min of reperfusion with Krebs-Henseleit bicarbonate buffer at 37 degrees C. Animals were pre-treated with cobalt protoporphyrin (CoPP, 5 mg/kg, i.p.) or zinc protoporphyrin (ZnPP,

25 mg/kg, i.p.), HO-1 inducer and antagonist, respectively.\n\nKey findings: In the model of ischemia/isolated perfusion, endogenous HO-I was downregulated in the livers fed with ethanol diet (ED I/R). In ED I/R group, portal pressure and lactate dehydrogenase release were significantly increased, while bile output and hyaluronic acid clearance selleckchem decreased compared to rats fed on control diet (CD I/R). Furthermore, hepatic glutathione content decreased and lipid peroxidation increased

in the ED I/R group compared to the CD I/R group. These alterations were attenuated by upregulation of HO-1 with CoPP pretreatment.\n\nSignificance: Our results suggest that chronic ethanol consumption aggravates hepatic injury during cold I/R and it is likely due to downregulation of endogenous HO-1. Prior induction of HO-1 expression may provide a new strategy to protect livers against hepatic I/R injury or to increase the donor transplant pool

through modulation of marginal CUDC-907 alcoholic steatotic livers. (c) 2011 Elsevier Inc. All rights reserved.”
“Global epidemic studies have suggested that coffee consumption is reversely correlated with the incidence selleck kinase inhibitor of type 2 diabetes mellitus (T2DM), a metabolic disease. The misfolding of human islet amyloid polypeptide (hIAPP) is regarded as one of the causative factors of T2DM. Coffee extracts have three major active components: caffeine, caffeic acid (CA), and chlorogenic acid (CGA). In this study, the effects of these major coffee components, as well as dihydrocaffeic acid (DHCA) (a major metabolite of CGA and CA), on the amyloidogenicity of hIAPP were investigated by thioflavin-T based fluorescence emission, transmission electronic microscopy, circular dichroism, light-induced cross-linking, dynamic light scattering, and MTT-based cell viability assays. The results suggest that all components show varied inhibitory effects on the formation of toxic hIAPP amyloids, in which CA shows the highest potency in delaying the conformational transition of the hIAPP molecule with the most prolonged lag time, whereas caffeine shows the lowest potency. At a 5-fold excess molar ratio of compound to hIAPP, all coffee-derived compounds affect the secondary structures of incubated hIAPP as suggested by the circular dichroism spectra and CDPro deconvolution analysis.

in addition, surgeons should support patients by giving them a li

in addition, surgeons should support patients by giving them a list of verified websites,

which would contribute to increased doctor-patient communication.”
“Allogeneic hematopoietic stem cell transplantation (HSCT) has been considered as the treatment of choice for patients with high-risk chronic lymphocytic leukemia (HR-CLL; ie, refractory to purine analogs, short response [ smaller than 24 months] to chemoimmunotherapy, and/or presence of del[17p]/TP53mutations). Currently, treatment algorithms for HR-CLL are being CCI-779 challenged by the introduction of novel classes of drugs. Among them, BCR signal inhibitors (BCRi) and B-cell lymphoma 2 antagonists (BCL2a) appear particularly promising. As a result of the growing body of favorable outcome data reported for BCRi/BCL2a, uncertainty is emerging on how to advise patients with HR-CLL about indication for and timing of HSCT. This article provides an overview of currently available evidence and theoretical considerations to guide this difficult decision process. Until the risks and GSK2879552 benefits of different treatment

strategies are settled, all patients with HR-CLL should be considered for treatment with BCRi/BCL2a. For patients who respond to these agents, there are 2 treatment possibilities: (1) performing an HSCT or (2) continuing treatment with the novel drug. Individual disease-specific and transplant-related risk factors, along with patient’s preferences, should be taken into account when recommending one of these treatments over the other.”
“The L protein of Bunyamwera virus (BUNV; family Bunyaviridae) is an RNA-dependent RNA polymerase, 2233 aa in length, that catalyses transcription and replication of the negative-sense, tripartite RNA genome. To learn more about the molecular

interactions of the L protein and to monitor its intracellular distribution we inserted a 14 aa V5 epitope derived from parainfluenza virus type 5, against which high-affinity antibodies are available, into different regions of the protein. Insertion of the epitope at positions 1935 or 2046 resulted in recombinant L proteins that retained functionality in a minireplicon Selleck PF-6463922 assay. Two viable recombinant viruses, rBUNL4V5 and rBUNL5V5, expressing the tagged L protein were rescued by reverse genetics, and characterized with respect to their plaque size, growth kinetics and protein synthesis profile. The recombinant viruses behaved similarly to wild-type (wt) BUNV in BHK-21 cells, but formed smaller plaques and grew to lower titres in Vero E6 cells compared with wt BUNV. Immunofluorescent staining of infected cells showed the L protein to have a punctate to reticular distribution in the cytoplasm, and cell fractionation studies indicated that the L protein was present in both soluble and microsomal fractions. Co-immunoprecipitation and confocal microscopic assays confirmed an interaction between BUNV L and N proteins.

The device evaluation was performed in 33 participants with a mea

The device evaluation was performed in 33 participants with a mean +/- SD age of 54.3 +/- 18.7 ACY-1215 inhibitor years (range 30-91 years). Their systolic blood pressure (SBP) was 144.0 +/- 23.7 mmHg (range 100-180 mmHg), diastolic blood pressure (DBP) was 86.2 +/- 14.4 mmHg (range 60-110 mmHg), and upper arm circumference was 29.4 +/- 2.8 cm (range 24.0-34.0 cm). Blood pressure measurements

were performed in the sitting position. The visomat comfort eco passed all three phases of the European Society of Hypertension protocol for SBP and DBP. Mean blood pressure differences for the visomat comfort eco (device-observer) were -0.5 +/- 5.7 mmHg for SBP and -1.4 +/- 5.3 mmHg for DBP. In conclusion, the present results show that the UEBE visomat comfort eco monitor can be recommended for clinical use in the adult population. Blood Press Monit 14:178-180 (C) 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.”
“We propose a scheme for generating an N-atom cluster state via cavity quantum electrodynamics (CQED). In our scheme, there is no transfer of quantum information between the atoms and the

cavity, i.e., the cavity is always in the vacuum state, so the cavity decay can be suppressed. Also, the generated cluster state is the entanglement of the ground states, so the atomic spontaneous emission can be avoided. Therefore, the cluster state generated in our scheme has a longer lifetime. Furthermore, the requirement on the quality factor of the cavity greatly loosened for the cavity is only 4EGI-1 in vivo virtually excited.”
“The success of dynamic https://www.selleckchem.com/products/bay80-6946.html materials properties research at Sandia National Laboratories has led to research into ultralow impedance, compact pulsed power systems capable of multi-MA shaped current pulses with rise times ranging from 220 to 500 ns. The Genesis design consists of two hundred and forty 200 kV, 80 kA modules connected in parallel to a solid dielectric disk transmission line and is capable of producing 280 kbar of magnetic

pressure (> 500 kbar pressure in high Z materials) in a 1.75 nH, 20-mm wide stripline load. Stripline loads operating under these conditions expand during the experiment resulting in a time-varying load that can impact the performance and lifetime of the system. This paper provides analysis of time-varying stripline loads and the impact of these loads on system performance. Further, an approach to reduce dielectric stress levels through active damping is presented as a means to increase system reliability and lifetime.”
“Outcome monitoring is crucial for subsequent adjustments in behavior and is associated with a specific electrophysiological response, the feedback-related negativity (FRN).

The authors developed multivariate multilevel models to identify

The authors developed multivariate multilevel models to identify nursing home and resident characteristics that were significantly associated with the data quality of multiple MDS measures of nursing home quality. The outcomes were coding differences between nursing home staff and study nurses. Resident characteristics explained little of the

variation in coding differences among facilities, while facilities characteristics explained 4% to 20% of the variation and state location further explained 13% to 34% of the variation. A generalized effect of nursing home state location tended to be consistent across measures. States that overidentified problems also tended to have worse quality indicators and vice versa. Comparisons of MDS-based learn more quality indicators reflect differences in assessment practices at least as much as true quality differences. Efforts to standardize assessment practices across states are needed. (Am J Med Qual 2009;24:229-240)”
“Maintaining food production while sustaining productive JNK-IN-8 nmr ecosystems is among the central challenges of our time, yet, it has been for

millennia. Ancient clam gardens, intertidal rock-walled terraces constructed by humans during the late Holocene, are thought to have improved the growing conditions for clams. We tested this hypothesis by comparing the beach slope, intertidal height, and biomass and density SN-38 of bivalves at replicate clam garden and non-walled clam beaches in British Columbia, Canada.

We also quantified the variation in growth and survival rates of littleneck clams (Leukoma staminea) we experimentally transplanted across these two beach types. We found that clam gardens had significantly shallower slopes than non-walled beaches and greater densities of L. staminea and Saxidomus giganteus, particularly at smaller size classes. Overall, clam gardens contained 4 times as many butter clams and over twice as many littleneck clams relative to non-walled beaches. As predicted, this relationship varied as a function of intertidal height, whereby clam density and biomass tended to be greater in clam gardens compared to non-walled beaches at relatively higher intertidal heights. Transplanted juvenile L. staminea grew 1.7 times faster and smaller size classes were more likely to survive in clam gardens than non-walled beaches, specifically at the top and bottom of beaches. Consequently, we provide strong evidence that ancient clam gardens likely increased clam productivity by altering the slope of soft-sediment beaches, expanding optimal intertidal clam habitat, thereby enhancing growing conditions for clams. These results reveal how ancient shellfish aquaculture practices may have supported food security strategies in the past and provide insight into tools for the conservation, management, and governance of intertidal seascapes today.

4 T) Fourier transform ion cyclotron resonance mass spectrometry,

4 T) Fourier transform ion cyclotron resonance mass spectrometry, it is possible to resolve and identify uniquely and simultaneously each of the thousands of elemental compositions find more from the most complex natural organic mixtures, including petroleum crude oil. It is thus possible to separate and sort petroleum components according to their heteroatom class (N(n)O(o)S(s)), double bond equivalents (DBE = number of rings plus double bonds involving carbon, because each ring or double bond results in a

loss of two hydrogen atoms), and carbon number. “Petroleomics” is the characterization of petroleum at the molecular level. From sufficiently complete characterization of the organic composition of petroleum and its products, it should be possible to correlate (and ultimately predict) their properties and behavior. Examples include molecular mass distribution, distillation profile, characterization of specific fractions without prior extraction or wet chemical separation from the original bulk material, biodegradation, maturity, water solubility (and oil:water emulsion behavior), deposits in oil wells and refineries, efficiency and specificity of catalytic Cytoskeletal Signaling inhibitor hydroprocessing, “heavy ends”

(asphaltenes) analysis, corrosion, etc.”
“Background: Health care depends, in part, on the ability of a practitioner to see signs of disease and to see how to treat it. Visual illusions, therefore, could affect health care. Yet there is very little prospective evidence that illusions can influence treatment. We sought such evidence.\n\nMethods

and Results: We simulated treatment using dentistry as a model system. We supplied eight, practicing, specialist dentists, endodontists, with at least 21 isolated teeth each, randomly sampled from a much larger sample of teeth they were likely to encounter. Teeth contained holes and we asked the endodontists to cut cavities in preparation for filling. Each tooth presented a more or less potent version of a visual illusion of size, the Delboeuf illusion, that made the holes appear smaller than they were. Endodontists and the persons measuring the cavities were blind to the parameters of the illusion. We found that the size of cavity endodontists made was linearly related to the potency of the Delboeuf illusion (p<.01) with an effect size (Cohen’s d) buy AZD1480 of 1.41. When the illusion made the holes appear smaller, the endodontists made cavities larger than needed.\n\nConclusions: The visual context in which treatment takes place can influence the treatment. Undesirable effects of visual illusions could be counteracted by a health practitioner’s being aware of them and by using measurement.”
“Oral Diseases (2012) 18, 558567 Objective: To compare the microbiota of endodontic infections in necrotic pulp from HIV-negative and HIV-positive subjects. Materials and Methods: Root canal samples from necrotic pulp were collected from 40 HIV- and 20 HIV+ subjects.

(C) 2010 Wiley-Liss, Inc “
“PurposeThe International Pro

(C) 2010 Wiley-Liss, Inc.”
“Purpose\n\nThe International Prognostic Score (IPS) is the

most widely used risk stratification index for Hodgkin’s lymphoma (HL). It is based on patients treated before 1992 and predicts 5-year freedom from progression (FFP) and overall survival (OS) ranging from 42% to 84% and 56% to 89%, respectively. The IPS has not been validated in a recently Etomoxir treated population in which outcomes have improved compared with historic results.\n\nPatients and Methods\n\nBy using the British Columbia Cancer Agency Lymphoid Cancer Database, we identified all patients age >= 16 years newly diagnosed with advanced-stage HL (stage III to IV, or stage I to II with “B” symptoms or bulky disease >= 10 cm) from 1980 to 2010, treated with curative intent with doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) or an ABVD-equivalent regimen with complete clinical information.\n\nResults\n\nIn all, 740 patients were identified. Five-year FFP and OS were 78% and 90%, respectively. The IPS was AZ 628 concentration prognostic for both FFP (P < .001) and OS (P < .001), with 5-year FFP ranging

from 62% to 88% and 5-year OS ranging from 67% to 98%. Analysis limited to patients age 16 to 65 years (n = 686) demonstrated a narrower range of outcomes, with 5-year FFP ranging from 70% to 88% and 5-year OS ranging from 73% to 98%.\n\nConclusion\n\nThe IPS remains prognostic for advanced-stage HL, but the range of outcomes has narrowed considerably. This improvement in outcome with ABVD should be acknowledged before consideration of alternate initial therapies and when comparing results

from current trials with those of historic controls.”
“Background Robotic colorectal surgery is gaining interest in general and colorectal surgery. The use of the da Vinci (R) Robotic system has been postulated to improve outcomes, primarily BIBF 1120 molecular weight by increasing the dexterity and facility with which complex dissections can be performed. We report a large, single institution, comparative study of laparoscopic and robotic colectomies, attempting to better elucidate the benefits of robotic surgery in patients with colorectal disease.\n\nMethods We conducted a retrospective review of 171 patients who underwent robotic and laparoscopic colectomies (79 and 92, respectively) at our institution between November 2004 and November 2009. Patients in both groups had well-matched preoperative parameters. All cases were further subdivided by their anatomical location into right-sided and left-sided colectomy, and analysis was performed within these two subgroups.

The expression of CALPs was decreased in cells kept for long peri

The expression of CALPs was decreased in cells kept for long periods in axenic cultures in comparison to a strain recently isolated from mice, as well as in MDL28170-treated cells, the latter being paralleled by an increased expression of cruzipain. Different levels of CALPs expression were also detected

in distinct phylogenetic lineages, like Y strain (lineage TCI), Dm28c (TCII) and INPA6147 strain (Z3 zymodeme). These results may contribute for the investigation of the functions of CALPs in trypanosomatids.”
“Exercise has shown little success in Small molecule library chemical structure mitigating bone loss from long-duration spaceflight. The first crews of the International Space Station (ISS) used the interim resistive exercise device (iRED), which allowed loads of up to 297 lbf (or 1337 Belnacasan solubility dmso N) but provided little protection of bone or no greater protection than aerobic exercise. In 2008, the Advanced Resistive Exercise Device (ARED), which allowed absolute loads of up to 600 lbf (1675 N), was launched to the ISS. We report dietary intake, bone densitometry, and biochemical markers in 13 crewmembers on ISS missions from 2006 to 2009. Of these 13, 8 had access to the iRED and 5 had access to the ARED. In both groups, bone-specific alkaline phosphatase tended to increase during flight toward the end of the mission (p?=?0.06) and increased 30 days after landing (p?<?0.001). Most markers of bone resorption were also

increased in both groups during flight and 30 days after landing (p?<?0.05). Bone densitometry revealed significant interactions (time and exercise device) for pelvis bone mineral density (BMD) and bone mineral content (p?<?0.01), hip femoral neck BMD (p?<?0.05), trochanter BMD (p?<?0.05), and total hip BMD (p?<?0.05). These variables were unchanged from preflight only for ARED crewmembers,

who also returned from flight with higher percent lean mass and lower percent fat mass. Body mass was unchanged after flight in both groups. All crewmembers had nominal vitamin D status (75 +/- 17?nmol/L) before and during flight. These BI-D1870 cell line data document that resistance exercise, coupled with adequate energy intake (shown by maintenance of body mass determined by dual-energy X-ray absorptiometry [DXA]) and vitamin D, can maintain bone in most regions during 4- to 6-month missions in microgravity. This is the first evidence that improving nutrition and resistance exercise during spaceflight can attenuate the expected BMD deficits previously observed after prolonged missions. (c) 2012 American Society for Bone and Mineral Research.”
“Clustering-ensemble methods have emerged recently as an effective approach to the problem of clustering, which is one of the fundamental data-analysis tools. Data clustering with an ensemble involves two steps: generation of the ensemble with single-clustering methods and the combination of the obtained solutions to produce a final consensus partition of the data.

Advances in our understanding of cellular and molecular actions o

Advances in our understanding of cellular and molecular actions of steroid hormones have gone beyond the important cell nuclear actions of steroid hormone CA3 receptors to include signaling pathways that intersect with other

mediators such as neurotransmitters and neuromodulators. This has, in turn, broadened the search for and identification of steroid receptors to include nonnuclear sites in synapses, dendrites, mitochondria, and glial cells, as well as cell nuclei. The study of estrogen receptors and estrogen actions on processes related to cognition, mood, autonomic regulation, pain, and neuroprotection, among other functions, has led the way in this new view of hormone actions on the brain. In this review, we summarize past and current work in our laboratory on this topic. This exciting and growing field involving many laboratories continues to reshape our ideas and approaches to neuroendocrinology both at the bench and the bedside.”
“Synthesis of tetrasaccharide portion of ganglioside HPG-1 NVP-LDE225 cell line is described. The tetrasaccharide sequence, Fuc-alpha(1,8)-Neu5Gc-alpha(2,4)-Neu5Ac-alpha(2,6)-Glc, was successfully assembled by a linear strategy, in which the 1,5-lactamized sialyl galactose

acceptor and the 8-O-Lev-N-Troc-sialic acid donor were exploited as key units.”
“In an ovine model of placental insufficiency-induced intrauterine growth retardation (PI-IUGR), characterized by hypoxia, hypoglycemia and a significant reduction in fetal weight, we assessed alterations in fetal and placental polyols. Arterial VX-809 clinical trial maternal fetal concentration differences of glucose and mannose were greater in the PI-IUGR fetus; glucose: C (n = 7), 2.68 +/- 0.14 mmol/L versus PI-IUGR (n = 9), 3.18 +/- 0.16 mmol/L (P < 0.02) and mannose: C, 42.9 +/- 8.1 mu mol/L versus PI-IUGR, 68.5 +/- 19.1 mu mol/L (P < 0.001). For PI-IUGR fetuses, fetal arterial plasma myo-inositol concentrations were significantly increased (P < 0.001). The concentrations of sorbitol, glucose and fructose were significantly reduced (P < 0.03, 0.01, 0.02, respectively). The cotyledons of IUGR placentas had a significantly increased concentration

of myoinositol (P < 0.003) and decreased concentrations of sorbitol, fructose and glycerol (P < 0.01, 0.02, 0.01, respectively). Fetal hepatic concentrations of sorbitol (P < 0.001) and fructose (P < 0.03) were also significantly reduced. These profound changes in both placental and fetal concentrations of polyols and sugars in sheep PI-IUGR pregnancies support the conclusion that within the PI-IUGR placenta there is an increased flux through the glucose 6-P:inositol 1-P cyclase system and decreased flux through the polyol dehydrogenase system, leading to increased placental myo-inositol production and decreased sorbitol production. The decreased placental supply of sorbitol to the fetal liver may lead to decreased fetal hepatic fructose production.

All rights reserved “
“Class discovery from gene expression

All rights reserved.”
“Class discovery from gene expression data is an important task for cancer diagnosis. In this paper, we present a new framework for class discovery. The new framework integrates the perturbation technique, the cluster ensemble approach, and the cluster validity index. Specifically, it first generates a set of perturbed datasets selleckchem from the original microarray data. Then, the Neural Gas, which serves as the basic clustering algorithm, is applied to obtain the partitions from the original dataset and the perturbed datasets. Finally, a new cluster validity index called disagreement/ agreement (DA) index (DAI) is designed to identify the number of classes

in the dataset by considering the difference between the partition obtained from the original dataset and the partitions obtained from the perturbed datasets. The experiments in three synthetic datasets and four cancer datasets show that: 1) DAI successfully discovers the underlying structure from all the synthetic datasets and most of the cancer datasets and 2) DAI outperforms most of the state-of-the-art

cluster validity indexes when applied to gene expression data.”
“A new technique to manage limited zonular weakness during phacoemulsification is presented in this report. The technique, called magnet-assisted capsular bag fixation, uses the magnetic implant to stretch and fixate the capsular bag over the zonular dehiscence area for patients with limited zonular disruption, which stabilizes SB273005 the capsular bag and facilitates cataract extraction. [Ophthalmic Surg Lasers Imaging 2010;41:478-480.]“
“Genital human papillomavirus (HPV) infection is one of the most commonly diagnosed sexually transmitted infections world-wide. LY2090314 chemical structure Over the last two decades, research has established a strong causal link between specific types of HPV infection and cancer, particularly cervical, anal, vulvar/vaginal, penile, and oropharyngeal cancer. Limited epidemiological studies of anogenital HPV infection have been conducted in Hispanic populations (including Puerto Rico), and population-based incidence and prevalence estimates of HPV

infection among Hispanics are limited. Studies that evaluate knowledge and awareness of HPV among men are also scarce. With the world-wide introduction of two new prophylactic vaccines against high-risk HPVs causing cervical cancer, and the recent FDA approval of the quadrivalent vaccine in preventing genital warts in men, there is an urgency to determine the burden of HPV in Hispanic populations before vaccine programs are implemented on a widespread basis. Knowledge and acceptability of the vaccine prior to implementation of these programs are also necessary to allow a targeted assessment. This review article summarizes existing research on HPV infection and HPV-related morbidities in men, with a particular emphasis on Hispanic men in the United States and Puerto Rico.

The result is a qualitative and quantitative workload

pro

The result is a qualitative and quantitative workload

profile of the emergency departments.\n\nThe 4 hospitals treated a total of 388 patients and the number of out-patients treated in each hospital was directly correlated to the distance from the mass incident and the highest workload arose shortly after the incident. With greater distances from the incident a higher proportion of in-patients were admitted and the highest workload occurred later. The key figures for capacity planning are presented and the main problems are discussed.\n\nEmergency departments demand a focused planning for mass casualty incidents and the central admission site is the focal point. The measures installed proved to be adequate to control planned and unplanned patient flow and to provide professional buy ML323 Raf kinase assay medical treatment.”
“Margaretamys christinae n. sp. is described from an adult male collected in tropical lower montane rain forest in Pegunungan Mekongga, the most extensive mountainous region on the southeastern peninsula of Sulawesi. Physical characteristics of the specimen (body size, fur coloration and texture, and dimensions of appendages) along with cranial and dental

qualitative and quantitative aspects are contrasted with similar traits in samples of M. beccarii (Musser, 1981), M. elegans (Musser, 1981), and M. parvus (Musser, 1981), the three other described species in the genus. The new species joins M. elegans and M. parvus as representatives of montane endemics, the former in Pegunungan Mekongga, the latter two in the west-central mountain block of Sulawesi’s core; M. beccarii occupies habitats in tropical lowland evergreen rain forest and is known by voucher material from the northeastern tip of the northern peninsula and central Sulawesi. Aside from its capture site 1.5m above ground at 1537m in lower montane forest, its age and sex, no other ecological information exists for the Mekongga species, but its possible

if not probable ecology is inferred from ecological information associated with the three other species. The four species are also the subjects of short discussions covering sympatry, zoogeography, phylogenetic alliances, and conservation.”
“Physiologic changes of pregnancy uniquely see more influence anesthesia for Cesarean delivery. Included is a review of current obstetrical anesthesia considerations for Cesarean delivery and recent changes improving maternal care and outcome.\n\nA literature review was conducted using Pubmed and the Cochrane database.\n\nIncreased use of neuraxial techniques instead of general anesthesia for Cesarean delivery has improved maternal safety. Recent changes in the prevention of gastric aspiration, hypotension from neuraxial techniques, venous thrombosis and a team approach have improved maternal care. Elective Cesarean deliveries and management of urgent deliveries are areas of discussion.