The performance of RESTMC is demonstrated and quantitatively comp

The performance of RESTMC is demonstrated and quantitatively compared with that of the conventional t-REM under varying simulation conditions for Lennard-Jones 19, 31, and 55 atomic clusters, exhibiting single- and double-funneled energy landscapes.”
“Background: In organisms where the

two sexes have unequal numbers of X-chromosomes, the expression of X-linked genes needs to be balanced not only between the two sexes, but also between X and the autosomes. In Drosophila melanogaster, the Male-Specific Lethal (MSL) complex is believed to produce a 2-fold increase in expression of genes on the male X, thus restoring this balance.\n\nResults: Here we show that almost all the genes on the male X are effectively check details compensated. However, many genes are compensated without any significant recruitment of the MSL-complex. buy Barasertib These genes are very weakly, if at all, affected by mutations or RNAi against MSL-complex components. In addition, even the genes that are strongly bound by MSL rely on mechanisms other than the MSL-complex for proper compensation. We find that long, non-ubiquitously expressed genes tend to rely less on

the MSL-complex for their compensation and genes that in addition are far from High Affinity Sites tend to not bind the complex at all or very weakly.\n\nConclusions: We conclude that most of the compensation of X-linked genes is produced by an MSL-independent mechanism. Similar to the case of the MSL-mediated compensation we do not yet know the mechanism behind the MSL-independent compensation that appears to act preferentially on long genes. Even if we observe similarities, it remains to be seen if the mechanism is related to the buffering that is observed in autosomal aneuploidies.”
“Natural myocardial markers, or speckles, originated from constructive and destructive interference of ultrasound in NSC23766 clinical trial the tissues may provide early diagnosis of myocardial changes and be used in the prediction of some

cardiac events. Due to its relatively temporal stability, speckles can be tracked by dedicated software along the cardiac cycle, enabling the analysis of the systolic and diastolic function. They are identified by either conventional 2D grey scale and by 3D echo, conferring independence of the insonation angle, thus allowing assessment of cardiac mechanics in the three spatial planes: longitudinal, circumferential, and radial. The purposes of the present paper are: to discuss the role and the meaning of cardiac strain obtained by speckle tracking during the evaluation of cardiac physiology and to discuss clinical applications of this novel echocardiographic technology.”
“Age related macular degeneration (AMD) is one of the major retinal degenerative disease of ageing whose complex genetic basis remains undeciphered.

2) Correlations suggested an independent role for palmitoyl-sphi

2). Correlations suggested an independent role for palmitoyl-sphingomyelin and a central role for PABA (which was stable over 6 months, within-subject ICC 0.67) modulated by p-hydroxy-benzaldehyde. Power calculations based on ICCs indicate that only 45% of metabolites with a true relative risk 5.0 would be found in prospectively collected, prediagnostic specimens from 500 cases and 500 controls. Thus, because fecal

metabolites vary over time, very large studies will be needed to reliably detect associations of many metabolites that potentially contribute to CRC.”
“Introduction: An unusual incidence of tuberculosis in different parts of the body is called tuberculomas. The rate of brain tuberculosis is rare.

Case Presentation: The following case of tuberculamas of the brain, presented by enhancing rings of meninges, is reported because of its rarity. It was a case of brain tuberculomas in a 15-year-old girl with primary symptoms of headache learn more find more and general weakness, and no signs of primary pulmonary infection. Discussion: The subject underwent computerized tomography (CT) and magnetic resonance imaging (MRI) of the brain. Microbiological tests (acid fast bacilli smear-AFB, and culture of biopsy specimen) were applied subsequently. According to the results, the problem was diagnosed as brain tuberculomas. After operation she was completely treated with anti-TB drugs. Although brain tuberculosis is rare, it was diagnosed on the basis of histopathology and the patient’s successful response to anti-tuberculous drug treatment.”
“ObjectivesAttitudes towards medication are believed to be important for medication adherence and social factors are believed to have effects on attitudes. Only a limited literature has focused on how attitudes to medication may correlate with social factors relevant to medication adherence among individuals with bipolar disorder (BPD). This secondary analysis of baseline data from a longitudinal study examined the relationships between attitudes towards mood stabilizers and psychosocial variables.

MethodsCommunity mental health clinic patients (n=122) were assessed on the outcome variable of medication attitudes as measured by the Attitudes towards Mood Stabilizers Questionnaire (AMSQ). Independent variables included education as well as ATM/ATR tumor standardized measures of psychiatric symptom severity, alcohol and drug problem severity, health locus of control (the belief that one’s health is self-determined versus determined by factors outside of one’s own control), and psychosocial support. A hierarchical multiple regression model evaluated the relationship between AMSQ and these variables. ResultsMore positive medication attitudes were seen in individuals with higher levels of social support and in those who held a stronger belief that their health outcomes are determined by others, such as family or clinicians.

These results show that AP-2rep is involved in the morphogenesis

These results show that AP-2rep is involved in the morphogenesis of the mesoderm

at the gastrula stage, via the brachyury and/or Wnt pathways.”
“As an important aspect of computer-aided drug design, structure-based NVP-LDE225 in vitro drug design brought a new horizon to pharmaceutical development. This in silico method permeates all aspects of drug discovery today, including lead identification, lead optimization, AD-MET prediction and drug repurposing. Structure-based drug design has resulted in fruitful successes drug discovery targeting protein-ligand and protein-protein interactions. Meanwhile, challenges, noted by low accuracy and combinatoric issues, may also cause failures. In this review, state-of-the-art techniques for protein modeling (e. g. structure prediction, modeling protein flexibility, etc.), hit identification/optimization (e. g. molecular docking, focused library design, fragment-based design, molecular dynamic, etc.), and polypharmacology design will be discussed. We will explore how structure-based techniques can facilitate the drug discovery process learn more and interplay with other experimental approaches.”
“Aims: To investigate the relationship between the presence of the photoreceptor inner and outer segment (IS/OS) junction and visual acuity after epiretinal membrane (ERM) surgery.\n\nMethods: Seventy eyes of 70 consecutive patients who had undergone

vitrectomy for idiopathic ERM were examined by optical coherence tomography before and 3 and 6 months after surgery. The IS/OS junction was graded into three grades. The time course of recovery of the IS/OS junction, central foveal thickness (CFT) and best FR900506 corrected visual acuity (BCVA) during the postoperative period was studied.\n\nResults:

A normal IS/OS junction was detected in 47.1% of the eyes before surgery and in 65.7% at 3 months and 75.7% at 6 months after. There was a significant correlation between the IS/OS grade and BCVA before and at 3 and 6 months after the operation (p=0.0001, p<0.0001, p<0.0001, respectively). The preoperative IS/OS junction grade correlated significantly with BCVA at 6 months (p=0.0239). CFT did not correlate significantly with BCVA at 3 and 6 months.\n\nConclusions: The presence of a normal IS/OS junction was associated with good visual acuity after ERM surgery. A normal IS/OS junction probably indicates morphological and functional recovery of the photoreceptors.”
“Objectives: To test the feasibility of combining inner-volume imaging (IVI) techniques with conventional multishot periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) techniques for targeted-PROPELLER magnetic resonance imaging.\n\nMaterials and Methods: Perpendicular section-selective gradients for spatially selective excitation and refocusing RF pulses were applied to limit the refocused field-of-view (FOV) along the phase-encoding direction for each rectangular blade image.

Yoga and mindfulness could be clinically valuable self-administer

Yoga and mindfulness could be clinically valuable self-administered intervention options for stroke rehabilitation. Further research is needed to evaluate these specific practices and their suitability in stroke rehabilitation.”
“In the KU57788 crystal structure of the title compound, C(15)H(9)FO(3), inversely oriented molecules form inversion dimers through pairs of O-H center dot center dot center dot O hydrogen bonds. The benzene ring is twisted at an angle of 12.0 (1)degrees relative to the 4H-chromene skeleton of the molecule. Adjacent 4H-chromene units are parallel in a given column or oriented at an angle of 50.0 (1)degrees in neighboring,

inversely oriented, columns, forming a herringbone pattern.”
“Differences in bioavailability among sediments are a source of variability and uncertainty in sediment quality assessment. We present three sets of studies designed to test a thin-film solid phase extraction technique for characterizing the bioavailability SB203580 ic50 of organic chemicals in sediments. Laboratory studies with spiked natural sediments reveal highly reproducible thin-film extractions for chemicals with octanol-water partition coefficients between 104.5 and 108.5, with 95% equilibration times between 1 and 600 h. Studies with field-collected sediments illustrate that method detection limits

are sufficiently low for field application at contaminated sites. Bioaccumulation studies with clams (Macoma balthica) show excellent correlations between thin-film and animal tissue concentrations. We conclude that thin-film extraction provides an ecologically relevant, fugacity-based measure of chemical exposure that can be expected to improve sediment quality assessments.”
“The thermokinetic behavior of polymethyl methacrylate (PMMA)-based composites during the pultrusion of glass fiber reinforced composites was investigated using a mathematical model accounting for the heat transfer and heat generation during the reaction. The equations of continuity and energy balance,

coupled with a kinetic expression for the reaction system were solved using a finite difference method to calculate the temperature profiles in the thickness direction in P505-15 inhibitor a rectangular pultrusion die. A kinetic model, dP/dt = -eta A(o)exp(-E(p)/RT) (2[I](o) – [Z](o)) P(m)(1-P/P(f))(n) (1 – exp ( – k(d)(t – t(z)))), was proposed to describe the reaction behavior of a PMMA resin. Kinetic parameters for the model were found from isothermal differential scanning calorimetry (DSC) scans using a multiple regression technique. The kinetic parameters gA(o) = 1.459 x 10(9) min(-1), E(p) = 10.62 kcal/mol, m = 1.095, and n = 0.893 were obtained. The predictions of the model will be compared with experimental results. It can be found that the theoretical predicted values of temperature profiles along the pultrusion die length were in good agreement with experimental data, which implies that the mathematical model was suitable for the pultrusion processes. (C) 2011 Wiley Periodicals, Inc.

The median RFS of ox-alone (16 8months; 95% CI, 11-25) was not si

The median RFS of ox-alone (16.8months; 95% CI, 11-25) was not significantly different

from ox-irino (15.7 months; 95% CI, 11-18; P = 0.93). There was no significant difference between median OS of ox-alone (40.83 months; 95% CI, 29-61) and ox-irino (47 months; 95% CI, 32-61; P = 0.94). At 5 years, OS and RFS rates were 41.8% and 13.8% in ox-alone and 42.4% and 14.2% in ox-irino, respectively. Prognostic factors confirmed on multivariate analysis were lymph node metastasis and PCI.\n\nConclusion: Our study showed no advantage of intensification of HIPEC by adding irinotecan, contrary to the results obtained with IV combination. Ox-alone HIPEC should continue as one of the standard HIPEC regimens for PC.”
“In the present study, bioceramic composites with improved mechanical and biological properties were synthesized by sintering mixtures of beta-tricalcium phosphate OSI-744 in vivo and SiO(2)-CaO-MgO-P(2)O(5) sol-gel derived bioactive glass at 1000-1200A degrees C. The physical, mechanical, structural and biological

properties of the composites were evaluated by appropriate experiments such as microhardness, bending strength, XRD, SEM and MTT. The results showed that 1000 and 1100A degrees C were not appropriate temperatures for sintering the composites and in contrast, the microhardness, bending strength and bulk density significantly increased learn more by increasing in quantity of bioglass phase when the samples were sintered at 1200A degrees C. No significant difference was found between the fracture toughness of the composites and pure beta-tricalcium phosphate. beta-tricalcium phosphate was structurally stable up to 1200A degrees C and did not transform to its alpha form even in this website the presence of the bioglass phase but migration of magnesium cations from the glass composition into its lattice structure was found by right-shift in XRD patterns, especially when the composite contained higher amount of bioglass component. Calcium silicate was also crystallized in the composition of the composites, which was more detectable in higher

sintering temperatures. The results of the MTT test showed that proliferation of human osteosarcoma cells on the composites was considerably better than that of pure beta-TCP.”
“We investigated the difference in survivin expression between a multidrug-resistant lung cancer cell line (H460/cDDP) and its parental counterpart (H460) and the influence of siRNA targeting survivin on the chemosensitivity of H460/cDDP. SiRNA targeting survivin was transfected into H460/cDDP cells using a liposome approach. Survivin mRNA and protein expression were significantly higher in H460/cDDP than H460 cells. The median inhibitory concentrations (IC(50)s) for cisplatin and paclitaxol in vitro against H460/cDDP cells were significantly lower in cells treated with survivin-specific siRNA than in control cells.

Assay sensitivities were calculated stratified according to pre-d

Assay sensitivities were calculated stratified according to pre-defined indices of disease severity: CD4 count, symptom intensity, serum C-reactive protein (CRP), hemoglobin concentration and vital status MK-2206 mouse at 90 days. Results: Sputum culture-positive TB was diagnosed in 15% (89/602) of patients screened and data from 86 patients were analyzed (median CD4 count, 131 cells/mu L) including 6 (7%) who died. The sensitivity of sputum microscopy was 26.7% overall and varied relatively little with disease severity. In marked contrast,

the sensitivities of urine-based and sputum-based diagnosis using Determine TB-LAM and Xpert MTB/RIF assays were substantially greater in sub-groups with poorer prognosis. Rapid diagnosis from sputum and/or urine samples was possible in bigger than 80% of patients in sub-groups with poor prognosis as defined by either CD4 counts smaller than 100 cells/mu L, advanced symptoms, CRP concentrations bigger than 200 mg/L or hemoglobin smaller than 8.0 g/dl. Retrospective testing

of urine samples with Determine TB-LAM correctly identified all those with TB who died. Conclusions: The sensitivities of Xpert MTB/RIF and Determine TB-LAM for HIV-associated TB were highest among HIV-infected patients with the most advanced disease and poorest prognostic characteristics. These data provide strong justification for large-scale intervention studies that assess the impact on survival of screening using these new sputum-based and urine-based BAY 80-6946 diagnostic approaches.”
“Background:

General population surveys Gilteritinib have seldom examined violence as a multidimensional concept and in relation to an array of mental disorders. Methods: Data from the South East London Community Health Study was used to examine the prevalence, overlap and distribution of proximal witnessed, victimised and perpetrated violence and their association with current mental disorders. We further investigated the cumulative effect of lifetime exposure to violence on current mental disorders. Unadjusted and adjusted (for confounders and violence) models were examined. Results: In the last twelve months, 7.4% reported witnessing violence, 6.3% victimisation and 3.2% perpetration of violence. There was a significant overlap across violence types, with some shared correlates across the groups such as being younger and male. Witnessing violence in the past year was associated with current common mental disorders (CMD) and posttraumatic stress disorder (PTSD) symptoms. Proximal perpetration was associated with current CMD, PTSD symptoms and past 12 months drug use; whereas proximal victimisation was associated with lifetime and past 12 months drug use.

Results: The predictive integration of gene expression data a

\n\nResults: The predictive integration of gene expression data and standardized functional similarity information enabled us to identify new treatment response biosignatures. Gene expression data originated from Ado-treated and -untreated EPCs

samples, and functional similarity was estimated with Gene Ontology (GO)-based similarity information. These information sources enabled us to implement and evaluate an integrated prediction approach based on the concept of k-nearest neighbours learning (kNN). The method can be executed by expert-and data-driven input queries to guide the search for biologically meaningful biosignatures. The resulting integrated kNN system identified new candidate EPC biosignatures that can offer high classification performance (areas under the operating characteristic curve > 0.8).

NF-��B inhibitor We also click here showed that the proposed models can outperform those discovered by standard gene expression analysis. Furthermore, we report an initial independent in vitro experimental follow-up, which provides additional evidence of the potential validity of the top biosignature.\n\nConclusion: Response to Ado treatment in EPCs can be accurately characterized with a new method based on the combination of gene co-expression data and GO-based similarity information. It also exploits the incorporation of human expert-driven queries as a strategy to guide the automated search for candidate biosignatures. The proposed biosignature improves the systems-level characterization this website of EPCs. The new integrative predictive modeling approach can also be applied to other phenotype characterization or biomarker discovery problems.”
“Sleep disorders are common in neurodegenerative diseases such as Parkinson’s disease (PD), multiple system atrophy (MSA), amyotrophic lateral sclerosis (ALS), hereditary ataxias, and Alzheimer’s disease (AD). Type, frequency, and severity of sleep disturbances vary depending on each of these diseases. Cell loss of the brainstem nuclei that modulates respiration, and dysfunction of bulbar and diaphragmatic muscles increase the

risk for sleep-disordered breathing (SDB) in MSA and ALS. The most relevant SDB in MSA is stridor, whereas in ALS nocturnal hypoventilation due to diaphragmatic weakness is the most common sleep breathing abnormality. Stridor and nocturnal hypoventilation are associated with reduced survival in MSA and ALS. In contrast, sleep apnea seems not to be more prevalent in PD than in the general population. In some PD patients, however, coincidental obstructive sleep apnea (OSA) can be the cause of excessive daytime sleepiness (EDS). SDB can also occur in some hereditary ataxias, such as stridor in spinocerebellar ataxia type 3 (Machado-Joseph disease). The presence of concomitant OSA in patients with AD can have deleterious effects on nocturnal sleep, may result in EDS, and might aggravate the cognitive deficits inherent to the disease.

The liver uptake ratio

(LUR) of Tc-99m-GSA and the functi

The liver uptake ratio

(LUR) of Tc-99m-GSA and the functional liver volume (FLV) in the remnant liver were predicted and were compared with postoperative liver function parameters.\n\nResults The LUR of Tc-99m-GSA was strongly correlated with the extent of hepatic ASGPR expression (r = 0.944, p = 5.01 x 10(-16)), being confirmed to be a reliable parameter for the evaluation of liver function. The estimated remnant LUR, but not the estimated remnant FLV, was significantly correlated with postoperative liver function parameters, such as serum total bilirubin (r = -0.430, p < 0.05), prothrombin activity (r = 0.515, p < 0.01), and serum cholinesterase LB-100 nmr activity (r = 0.546, p < 0.01) at 1 week.\n\nConclusion Preoperative estimation of the extent of ASGPR expression in the remnant liver on CT/GSA-SPECT fusion images correlated well with postoperative liver function parameters, suggesting

selleck chemical its usefulness for surgical decisions.”
“Hepatitis C virus (HCV) infection is a major global health problem as it has a high propensity for establishing chronicity. Chronic HCV carriers are at risk of developing severe liver disease including fibrosis, cirrhosis and liver cancer. While treatment has considerably improved over the years, therapy is still only partially effective, and is plagued by side effects, AZD8055 manufacturer which contribute to treatment failure and is expensive to manage. The drug development pipeline contains

several compounds that hold promise to achieve the goal of a short and more tolerable therapy, and are also likely to improve treatment response rates. It remains to be seen, however, how potent antiviral drug cocktails will affect the hepatitis C burden worldwide. In resource-poor environments, considerable costs, inadequate infrastructure for medical supervision and distribution may diminish the impact of future therapies. Consequently, development of novel therapeutic and prophylactic strategies is imperative to contain HCV infection globally.”
“Gamasiphis ochotensis sp. n. is described based on the morphology of females and males collected from litter and soil in the Sakhalin and Kuril Islands of Far East Russia. A key for the separation of females of 10 recognisable species of Gamasiphis distributed in Asia is provided.”
“This is a review of key studies that have investigated whether FES-evoked leg exercise possesses sufficient intensity to meet the Exercise is Medicine T guidelines for cardiovascular health. The American College of Sports Medicine and similar professional organisations have aligned their recommendations about what is sufficient physical activity or exercise to maintain good health.

Results The Killip 2-4 patients were more likely to have a higher

Results The Killip 2-4 patients were more likely to have a higher age and proportion of women and exhibited a higher prevalence of previous myocardial infarction, diabetes mellitus and PRIMA-1MET chemical structure chronic kidney disease or anemia on admission, lower systolic blood pressure (SBP) values on admission, a higher rate of multivessels or left main trunk as the culprit artery, a larger

number of diseased vessels, a lower Thrombolysis In Myocardial Infarction (TIMI) grade in the infarct-related artery (IRA) before/after primary PCI and a significantly higher in-hospital mortality rate than the Killip 1 patients. According to a multivariate analysis, age was found to be an independent positive predictor of in-hospital mortality, while admission SBP was an independent positive predictor of in-hospital survival in both groups. In contrast, anemia on admission was found to be an independent predictor of in- hospital death, while the TIMI 3 flow in the IRA after PCI was found to be an independent factor for survival in the Killip 2-4 patients, but not the Killip 1 patients. Conclusion

Anemia on admission and the final Selleckchem ERK inhibitor TIMI 3 flow in the IRA are critical determinants of in-hospital death in AMI patients with a Killip class status of bigger than = 2 undergoing primary PCI.”
“ObjectivesThe objectives were to assess the test characteristics of ultrasound (US) in PXD101 in vivo diagnosing appendicitis in children and to evaluate site-related variations based on the frequency of its use. Additionally, the authors

assessed the test characteristics of US when the appendix was clearly visualized. MethodsThis was a secondary analysis of a prospective, 10-center observational study. Children aged 3to 18years with acute abdominal pain concerning for appendicitis were enrolled. US was performed at the discretion of the treating physician. ResultsOf 2,625 patients enrolled, 965 (36.8%) underwent abdominal US. US had an overall sensitivity of 72.5% (95% confidence interval [CI]=58.8% to 86.3%) and specificity 97.0% (95% CI=96.2% to 97.9%) in diagnosing appendicitis. US sensitivity was 77.7% at the three sites (combined) that used it in 90% of cases, 51.6% at a site that used it in 50% of cases, and 35% at the four remaining sites (combined) that used it in 9% of cases. US retained a high specificity of 96% to 99% at all sites. Of the 469 (48.6%) cases across sites where the appendix was clearly visualized on US, its sensitivity was 97.9% (95% CI=95.2% to 99.9%), with a specificity of 91.7% (95% CI=86.7% to 96.7%).

3% vs 11 6%, p=0 035; and 4 6 +/- 0 7mmol/L vs 4 2 +/- 0 5mmol/

3% vs. 11.6%, p=0.035; and 4.6 +/- 0.7mmol/L vs. 4.2 +/- 0.5mmol/L, p=0.002). Procedural complications were lower in punctures with the insulin needle both immediately postprocedure (0% vs. 24%; p smaller than 0.001) and at 24hours postprocedure (5.4%

vs. 34.2%; p=0.007). ConclusionsArterial punctures using insulin needles cause less pain and fewer procedural complications compared to standard needles. However, due to the higher rate of hemolysis, its use should be limited to conditions that do not require a concurrent potassium value in the same blood sample. (C) 2015 by the Society for Academic Emergency Medicine”
“Nitroheterocyclic compounds have received considerable interest as hypoxia-selective cytotoxins (HSC) for cancer treatment. In the present study, we investigated antitumor activity of an iodide analogue of metronidazole, 1-(2-iodoethyl)-2-methy1-5-nitroimidazole (MTZ-I), using Swiss mice BIX 01294 cost bearing solid Ehrlich tumor. MTZ-I showed potent anti-cancer activity at a dose of 40 mg/kg. MTZ-I loaded solid lipid nanoparticles (SLN) were developed as an alternative colloidal carrier system to enhance tumor drug

uptake. SLN were characterized for particle size, polydispersity index, zeta potential and entrapment efficiency. In addition, the influence of presence of the cationic lipid stearylamine (STE) on stability of formulation was assessed. The results of DSC study showed that MTZ-I exhibited interaction with STE.”
“Objective: To compare stimulation profiles, pregnancy, and live birth rates in poor responders during in vitro fertilization (IVF) cycles see more using either a gonadotropin-releasing hormone (GnRH)

antagonist (cetrorelix) or a selleck chemicals llc GnRH agonist flare protocol (leuprolide).\n\nDesign: Retrospective chart review.\n\nSetting: A university-affiliated lVF program.\n\nPatient(s): Women designated as poor responders based on a prior stimulation cycle or baseline follicle-stimulating hormone (FSH) level of > 10 mIU/mL, who needed at least 375 IU of starting daily gonadotropins in the study cycle.\n\nIntervention(S): Administration of GnRH agonist flare or GnRH antagonist protocol.\n\nMain Outcome Measure(s): Clinical pregnancy rate. live birth rate.\n\nResult(s): For 68 GnRH antagonist and 45 GnRH agonist flare cycles, the groups were similar with respect to age (38.8 versus 38.6 years) and basal FSH concentration (8.33 versus 8.65 mIU/mL). No statistically significant differences between the protocol types were noted in peak estradiol levels, amount of gonadotropins used, number of oocytes obtained, or embryos transferred. The pregnancy rates (40% versus 45.2%) and live birth rates (27.7% versus 31.7%) in the GnRH antagonist and flare groups, respectively, were similar.\n\nConclusion(s): We achieved excellent and comparable pregnancy and live birth rates in poor responders of advanced reproductive age with the use of either GnRH antagonist or flare protocol. (Fertil Steril (R) 2010;93:360-3.