2 angstrom resolution structures Analyses as a function of the p

2 angstrom resolution structures. Analyses as a function of the phi,psi-backbone dihedral angles show that the expected value deviates by +/- 8 degrees from planar as a systematic function of conformation, but that the large majority of variation in planarity depends on tertiary effects. Furthermore, we show that those peptide bonds in proteins that are most nonplanar, deviating by over 20 from

planarity, are not strongly associated with active sites. Instead, highly nonplanar peptides are simply integral components of protein structure related to local and tertiary structural features that tend to be conserved among homologs. To account for the systematic phi,psi-dependent component of nonplanarity, we present a selleck chemicals llc conformation-dependent library that can be used in crystallographic refinement and predictive protein modeling.”
“The purpose of the study was to assess whether postoperative changes in the tumour bed after intraoperative radiotherapy (IORT) with low-energy X-rays complicate the mammographic evaluation. 54 patients receiving breast-conserving surgery and IORT were compared to a control group of 48 patients with conventional breast-conserving treatment.

All patients were included in routine follow-ups (>= 3 years) with mammography accompanied by ultrasound. By retrospective consensus reading the mammographic changes in the tumour bed were classified as absent, low or distinct. Using the same grading it was classified whether mammographic evaluation was complicated due to VS-6063 clinical trial postoperative changes. Focusing the yearly follow-ups within a period of four years, distinct changes were found significantly more often after IORT (52-62% vs. 7-30%).

After IORT the evaluation was significantly more often distinctly complicated in each follow-up, except for year 1 (16-21% vs. 0-8%). In the IORT group the distribution of findings was nearly stable over time. In the control group it changed over time and a distinctly complicated evaluation was no longer seen in the follow-ups of years selleck kinase inhibitor 3 and 4. Overall, further non-routine diagnostic procedures due to unclear findings in the tumour bed became necessary in 7% (IORT) vs. 8% (control group) of the patients (p = 0.86). Evaluation of mammograms is complicated after IORT. In contrast to conventionally treated patients postoperative changes and difficulties of evaluation do not decrease over time. Overall, after IORT the diagnostic uncertainty does not seem to be increased in ultrasound supported mammographic follow-ups. The topic needs further evaluation with larger study samples. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“Late-onset cytomegalovirus (CMV) disease is a significant problem with a standard 3-month prophylaxis regimen.

Participants were randomly allocated in a 1: 1 ratio to induction

Participants were randomly allocated in a 1: 1 ratio to induction of labor (IoL) or expectant management (EM) using block randomization. The main outcome was neonatal sepsis. Secondary outcomes included mode of delivery, respiratory distress syndrome (RDS), and chorioamnionitis. Patients and caregivers were not blinded to randomization

status. We updated a prior meta-analysis on the effect of both interventions on neonatal sepsis, RDS, and cesarean section rate. From 1 January 2007 to 9 September 2009, 776 patients in 60 hospitals were eligible for the study, of which 536 patients were randomized. Four patients were excluded after check details randomization. We allocated 266 women (268 neonates) to IoL and 266 women (270 neonates) to EM. Neonatal sepsis occurred in seven (2.6%) newborns of women in the IoL group and in 11 (4.1%) neonates in the EM group (relative risk [RR] 0.64; 95% confidence interval [CI] 0.25 to 1.6). RDS was seen in 21 (7.8%, IoL) versus 17 neonates (6.3%, EM) (RR 1.3; 95% CI 0.67 to 2.3), and a cesarean section was performed in 36 (13%, IoL) versus 37 (14%, EM) women (RR 0.98; 95% CI 0.64 to 1.50). The risk for chorioamnionitis was reduced in the IoL group. No serious adverse events were reported. Updating an existing meta-analysis with our trial

results (the only eligible trial for the update) indicated RRs of 1.06 (95% CI 0.64 to 1.76) for neonatal sepsis (eight trials, 1,230 neonates) and 1.27 (95% click here CI 0.98 to 1.65) for cesarean section (eight trials, 1,222 women) for IoL compared with EM.\n\nConclusions: In women whose pregnancy is complicated by late PPROM, neither our trial nor the updated meta-analysis indicates that IoL substantially improves SNX-5422 ic50 pregnancy

outcomes compared with EM.”
“Measurements of speciated non-methane hydrocarbons (NMHCs) were conducted in an ozone non-attainment metropolis with pronounced industrial emissions in addition to traffic ones. Highly variable and complex natures of industrial sources make their composition profiles difficult to determine. In the circumstances of no reliable source profiles, two simple complementary approaches were attempted to characterize sources of NMHCs. First, a robust vehicular indicator, 3-methylpentane (3MC5A), which is an intrinsic component of gasoline, was used to estimate contributions of traffic versus non-traffic sources for major NMHCs with high ozone-forming potentials (OFPs), such as ethene, toluene, xylene, isoprene, etc. Second, the method of principal component analysis (PCA) was employed to further discern non-traffic emissions into various Source groups. A total of 454 ambient samples were sampled in the urban-industrial complex metropolis (Kaohsiung, Taiwan) to build up a large dataset to be tested by the two complementary approaches. It was found that four types of emissions, i.e.

Here we overcome these challenges of thermal stability and micros

Here we overcome these challenges of thermal stability and microstructural design by stabilizing metal nanoparticles on a scaffold of Sm0.2Ce0.8O2-(0)(SDC) films with highly porous and vertically-oriented morphology, where the oxide serves as a support, as a mixed conducting transport layer for fuel electro-oxidation reactions, and as an inherently active partner in catalysis. The SDC films are grown on single crystal YSZ click here electrolyte substrates by means of pulsed-laser deposition, and the metals (11 mu g cm(-2) of Pt, Ni, Co, or Pd) are subsequently applied by D. C. sputtering. The resulting structures are examined by TEM, SIMS,

and electron diffraction, and metal nanoparticles are found to be stabilized on the porous SDC structure even after exposure to 650 degrees C under humidified H-2 for 100 h. A.C. impedance spectroscopy of the metal-decorated porous SDC films reveals exceptionally high electrochemical reaction activity toward hydrogen electro-oxidation, as well as, in the particular case of Pt, coking resistance when CH4 is supplied as the fuel.

selleck chemicals llc The implications of these results for scalable and high performance thin-film-based SOFCs at reduced operating temperature are discussed.”
“Background: Ulcerative colitis (UC) and Crohn’s disease (CD) have been associated with increased risks of adverse birth outcomes. Disease activity and drug exposure may contribute to the association. Methods: A cohort from the Swedish health registers including 470,110 singleton births in Sweden from July 2006 to December 2010; 1833 to women with UC and 1220 to women with CD. Birth outcomes for women with UC and CD were compared with outcomes among those without disease. Diseased women were categorized by drug exposure, need of surgery, and hospital admissions as (1) no disease activity and (2) stable or (3) flaring disease. Logistic regression was used to calculate

odds ratios with adjustments (aOR) for maternal age, parity, smoking status, Quizartinib in vitro body mass index, and comorbidity. Results: There were increased risks of preterm birth for both UC (aOR, 1.78; 95% confidence interval [CI], 1.49-2.13) and CD (aOR, 1.65; 95% CI, 1.33-2.06). Risks were more pronounced in women with flaring disease during pregnancy. Risks of small for gestational age, low Apgar score, and hypoglycemia were also increased. The risk of stillbirth was elevated in women with CD, particularly among those with flaring disease (aOR, 4.48; 95% CI, 1.67-11.90). Thiopurine exposure increased risks for preterm birth, both in women with stable (aOR, 2.41; 95% CI, 1.05-5.51) and with flaring disease (aOR, 4.90; 95% CI, 2.76-8.69). Conclusions: Women with UC and CD are at increased risk of adverse birth outcomes, such as stillbirth, growth restriction, and preterm birth, particularly when they suffer from flares throughout pregnancy.

Of the selected three peptides (designated P1, P2 and P3), P1 (MA

Of the selected three peptides (designated P1, P2 and P3), P1 (MAGE-A10(310-318), SLLKFLAKV) could elicit peptide-specific CTLs both in vitro from HLA-A*0201-positive PBMCs and in HLA-A*0201/K(b) transgenic mice, and the induced CTLs could lyse MAGE-A10-expressing tumor cells in a HLA-A*0201-restricted fashion but not MAGE-A10-negative tumor cells. Our results demonstrate that the peptide MAGE-A10(310-318) is a HLA-A*0201-restricted CTL epitope of MAGE-A10 and could serve

as a target for therapeutic antitumoral vaccination.”
“Oral cancer accounts VX-809 supplier for 40%-50% of all cancers in India. Tobacco and alcohol are the major etiological factors contributing to its pathogenesis. The aim of the present study was to explore the key mechanism behind the inhibitory

effects of rosmarinic acid against 7,12-dimethylbenz(a)anthracene GSI-IX solubility dmso (DMBA) induced oral carcinogenesis by evaluating the status of biochemical markers (lipid peroxidation, antioxidants, and detoxification enzymes) and immunoexpression patterns of p53 and bcl-2 proteins. Oral tumors were developed by painting the buccal pouches of golden Syrian hamsters with 0.5% DMBA in liquid paraffin 3 times a week for 14 weeks. We noticed 100% tumor formation in hamsters treated with DMBA alone, and the tumors were histopathologically confirmed as well-differentiated squamous cell carcinoma. Oral administration of rosmarinic acid (100 mg/kg body wt) to DMBA-treated hamsters completely prevented the tumor formation. In addition, rosmarinic acid significantly returned the status of biochemical and molecular markers to near normal range in DMBA-treated hamsters. The

results of the present study suggest Selleckchem PP2 that rosmarinic acid suppresses oral carcinogenesis by stimulating the activities of detoxification enzymes, improves the status of lipid peroxidation and antioxidants, and downregulates the expression of p53 and bcl-2 during DMBA-induced oral carcinogenesis.”
“Transgenic crops were first commercialised almost 20 years ago, which makes it a good opportunity to reflect on this technology. In this review, we compare its status with the predictions included in Vasil’s forecast published in 2002. Our analysis shows that science has provided a wide range of possibilities to modify different traits in plants, yet the economy benefits from that range to very different extents. We also point out the most important constituents of the technology development involving methodology improvement and novel traits expressed in varieties introduced into agriculture. Using native genes (or their elements) in transgenes, accumulating previously produced transgenes to cascade resistance and using herbicide resistance as a selectable marker have been considered typical of novel genetically modified (GM) plant varieties.

N-Alkyl morpholines demonstrated the best inhibition profiles for

N-Alkyl morpholines demonstrated the best inhibition profiles for this enzyme and derivatives (15a)-(15d) acted as non-competitive inhibitors with IC50 values of 55.1-88.6 mu M. Within this study, some preliminary structure-activity relationships are proposed, and it is demonstrated that N-substituted morpholines display better inhibitory profiles for the enzymes analysed than any of the N-substituted oxazepanes. (C) 2011 Elsevier SN-38 cost Ltd. All rights reserved.”
“Background: Due to low energy levels in microphotodiode-based subretinal visual prostheses, an external power supply is

mandatory. We report on the surgical feasibility and the functional outcome of the extraocular part of an approach to connect a subretinal prosthesis to an extracorporeal connector in the retro-auricular space via a trans-scleral, transchoroidal cable.\n\nMethods: Seven volunteers with retinitis pigmentosa received an active subretinal implant; Dibutyryl-cAMP energy was supplied by gold wires on a trans-sclerally, transchoroidally implanted polyimide foil leading to the lateral orbital rim where it was fixated and connected to a silicone cable. The cable was implanted subperiostally beneath the temporal muscle using a trocar to the retro-auricular space where it penetrated the skin for connection to a stimulator. To avoid subretinal movement of the implant, three tension relief

points have been introduced.\n\nResults: All implantations were performed as planned without complications, and no serious adverse events occurred in the postoperative period. Fixation of the implants was stable throughout the entire study duration of

4 weeks; permanent skin penetration see more proved to be uncomplicated. Motility was minimally restricted in downgaze and ab-/adduction. Explantation was uneventful.\n\nConclusion: The above-described procedure provides a method for stable fixation of a subretinal device with a trans-scleral, transchoroidal cable connection to an extracorporeal connector.”
“Homologous chromosomes are segregated during the first meiotic division (meiosis I). Unfortunately, human oocytes are particularly susceptible to mis-segregation errors, so generating aneuploid, often non-viable, embryos. Here we review the cell biology of meiosis I and how homolog disjunction is regulated for mammalian oocytes. We focus on the activity of the anaphase-promoting complex/cyclosome (APC/C), which is responsible for timely degradation of the cohesin component, REC8 and the cyclin B regulatory subunit of maturation-promoting factor, both essential steps for meiosis I completion. In particular, we examine the role played by the spindle assembly checkpoint in controlling the APC/C activity, and in so doing ensuring accurate disjunction of homologs.

The waist-to-hip ratios were converted to age- and sex-adjusted z

The waist-to-hip ratios were converted to age- and sex-adjusted z scores based on normal ranges in healthy Thai children.\n\nResults: Forty-five lipodystrophic children with 36 episodes of lipohypertrophy and 22 episodes of lipoatrophy were enrolled. By weeks 48 and 96 after substitution, 40% and 47% of lipohypertrophy resolved, whereas 59% and 73% of lipoatrophy resolved,

respectively. The rate of resolution of lipoatrophy was higher than that of lipohypertrophy at 48 weeks after substitution and thereafter. Ninety-six weeks after changing to zidovudine therapy, 8 children still had LD (1 with both lipoatrophy and lipohypertrophy, 7 with lipohypertrophy). No clinically significant hematologic adverse event was observed.\n\nConclusions: Substitution click here of stavudine

with zidovudine resulted in decreased severity or resolution of LD among HIV-infected children and adolescents.”
“Aim: To examine the effectiveness of continuous haemofiltration Compound C ic50 as a treatment for severe heat stroke in dogs.\n\nMethods: Dogs were randomly allocated to a control or continuous haemofiltration group (both n=8). Heat stroke was induced by placing anaesthetised dogs in a high temperature cabin simulator. Upon confirmation of heat stroke (rectal temperature > 42 degrees C, mean arterial pressure (MAP) decrease > 25 mmHg), dogs were removed from the chamber and continuous haemofiltration was initiated and continued for 3 h for dogs in the continuous haemofiltration group. Dogs in the control group were observed at room temperature.\n\nResults: Rectal temperature, haemodynamics, pH, blood gases and electrolyte concentrations rapidly returned to baseline in the continuous haemofiltration group, but not the control group. After

3 h, rectal temperature was 36.68 +/- 0.51 degrees C in the continuous haemofiltration group and 39.83 +/- https://www.selleckchem.com/products/azd5363.html 1.10 degrees C in the control group (P<0.05). Continuous haemofiltration prevented endotoxin and all serum enzyme concentrations from increasing and caused malondialdehyde concentrations to decrease. After 3 h, endotoxin concentrations were 0.14 +/- 0.02 EU ml(-1) in the continuous haemofiltration group and 0.23 +/- 0.05 EU ml(-1) in the control group (P=0.003), while malondialdehyde concentrations were 4.86 +/- 0.61 mmol l(-1) in the continuous haemofiltration group and 8.63 +/- 0.66 mmol l(-1) in the control group (P<0.001). Five dogs died in the control group within 3 h, whereas no dogs died in the continuous haemofiltration group.\n\nConclusions: Continuous haemofiltration rapidly reduced body temperature, normalised haemodynamics and electrolytes, improved serum enzyme concentrations and increased survival in dogs with heat stroke. Continuous haemofiltration may be an effective treatment for heat stroke. (c) 2011 Elsevier Ireland Ltd. All rights reserved.”
“Purpose of review\n\nTo highlight recent literature that informs our understanding of severe asthma.

A second EHL or ILL attempt made in five cases of primary failure

A second EHL or ILL attempt made in five cases of primary failure led to definitive stone clearance in three cases. Two patients experienced perioperative complications (stone basket impaction). Mild

post-ERCP pancreatitis occurred for one patient and cholangitis for two patients. During long-term follow-up evaluation, recurrent CBD stones were found in one patient.\n\nPeroral endoscopic EHL or ILL, under direct cholangioscopic visualization by a mother-baby endoscopic system, is an effective treatment for difficult CBD stones. The technique can be used safely even in frail and elderly patients. However, several endoscopic attempts may be required before final stone clearance is achieved. The vast majority of patients may be expected to remain symptom free for a prolonged period.”
“A magnetic anomaly in the austenitic state of Ni(51.5)Fe(21.5)Ga(27) Ricolinostat single crystalline ferromagnetic shape memory alloy has been studied by means of ac impedance measurements. A much stronger effect of the degree of atomic order on the temperature of this anomaly (as compared to the temperature of the martensitic mTOR inhibitor and para-ferromagnetic transitions) has been found. It has been shown that apart from the previously reported slight variation in the saturation magnetization,

the magnetic anomaly results in a nearly one order of magnitude change in the value of initial magnetic permeability. The anomaly is not revealed in the resistive impedance at low frequencies, pointing likely to its purely magnetic origin. (C) 2009 American Institute of Physics. [DOI:10.1063/1.3106043]“
“Accuracy in the reporting of studies in conference abstracts

is important because the majority of studies in such abstracts are never further detailed in peer-reviewed publications, LEE011 cell line and data from such abstracts may be used in systematic reviews. Previous research on interventional studies in human biomedicine indicates that there is no guarantee of consistency between a conference abstract and paper in the reporting of results and other key variables. However, no research has been done to determine if this lack of reporting consistency in abstracts and papers extends to interventional studies in pre-harvest/harvest-level food safety. The goal of this study was to compare outcome results and other key variables between conference abstracts and subsequent peer-reviewed publications describing studies of pre-harvest and abattoir-level interventions against foodborne pathogens, and to determine whether the agreement in the results or key variables was associated with the time to full publication.

The findings will contribute to the development of evidence based

The findings will contribute to the development of evidence based clinical practice guidelines.”
“This study evaluated the differences in the muscle-fat-bone yield of Namaqua Afrikaner (NA), Dorper (D) and SA Mutton Merino (SAMM) ram lambs. The breeds constituted an indigenous, hardy and late maturing, fat-tailed breed (NA), an early maturing, commercial meat breed (D) and a late maturing commercial dual-purpose breed (SAMM). Lambs were slaughtered at 35 (+/- 8) days post https://www.selleckchem.com/products/DMXAA(ASA404).html weaning. Carcasses were cooled for 24 h, separated into retail cuts (leg, loin, rib, and shoulder), weighed and deboned. Meat and fat were

separated after deboning and weighed to calculate the muscle-fat-bone yield per cut. Least-square means were computed for the respective breeds, using slaughter age as covariate. Results for percentage meat indicate that, with exception of the rib, retail cuts from the NA breed contained a lower percentage of meat than D and SAMM breeds, particularly in the valuable loin and leg cuts. The shoulder of the NA had a lower percentage meat than that of the D. The percentage fat in retail cuts did not differ between breeds for any of the cuts. In comparison with both D and SAMM, NA contained a higher percentage bone

in all cuts. Dorper and SAMM carcasses did not differ in terms of the percentage of bone, fat or muscle for any of the retail cuts. The lower meat yield, particularly in the more expensive loin and leg Screening Library solubility dmso of the NA, when compared to the commercial meat breed (D) could make the former less preferred for meat production. However, the NA compared more favourably than the dual-purpose SAMM. Differences in carcass composition could be attributed to the fact that the NA is an unimproved and late maturing sheep breed.”
“The Industry Committee of the Tissue Engineering Regenerative Medicine International Society, MG 132 Americas Chapter (TERMIS-AM) administered a survey to its membership in 2013 to assess the awareness of science requirements in the U. S. Food and Drug Administration (FDA) regulatory process. One hundred forty-four members responded to the survey. Their occupational and

geographical representation was representative of the TERMIS-AM membership as a whole. The survey elicited basic demographic information, the degree to which members were involved in tissue engineering technology development, and their plans for future involvement in such development. The survey then assessed the awareness of general FDA scientific practices as well as specific science requirements for regulatory submissions to the Center for Biologics Evaluation and Research (CBER), the Center for Drug Evaluation and Research (CDER), the Center for Devices and Radiological Health (CDRH), and the Office of Combination Projects (OCP). The FDA-specific questions in the survey were culled from guidance documents posted on the FDA web site (www.fda.gov).

In this pregnancy neither the NT test nor early morphological exa

In this pregnancy neither the NT test nor early morphological exam showed typical findings of any chromosomal disorder. The patient underwent amniocentesis. We performed an accurate second level scan at 21 weeks while waiting for genetic results, CDK inhibition and we suspected simple, complete, bilateral syndactyly between

the third and fourth finger of the hands (rapper sign). The result of the invasive test was 47,XY,+21 and the mother opted for termination of pregnancy; the baby showed simple, complete, bilateral syndactyly of the two digits as suspected during sonography. In presenting our case report, we want to stress the importance of the accuracy of observation of fetal hand morphology, attitude, movements and reactivity. When the observation of fetal hands is not satisfactory (e.g., when the fetus does not open the fist), we recommend external stimulation of fetal reactivity through probe movements on the maternal abdomen (dynamic scan). This approach can make the identification of subtle hand anomalies easier and improve

selleck the detection rate of both structural and genetic fetal disorders.”
“The goal of this study was to make a Medline research about pregnancies which occur after surgical procedures for stress urinary incontinence (SUI). Therefore, we do not know the recurrence rate of SUI after pregnancy and the influence of the way of delivery on the risk of reccurrence. We do not know either if we should apply a surgical procedure on women who have not achieved their pregnancies. In 1998, a questionnaire based survey conducted in the USA showed a lower risk of recurrence after a caesarean section than after a vaginal delivery (p = 0,03) when women had previously Galardin ic50 colposuspension or sling procedures. We found ten case reports and a French national survey (2006) about pregnancies after TOT or TVT procedure. No complication related to the tape was described during pregnancy. The recurrence rate along the pregnancy

is about 15%, and the global recurrence rate (during pregnancy and after the childbirth) is about 20%. As a conclusion, pregnancy itself has an influence, and vaginal delivery seams to increase the risk of recurrence after the birth compare to the c-section. However this recurrence rate and these data do not appear enough to us to refuse a surgical treatment for women who have not completed their pregnancies and who suffer from UI without efficacy of physiotherapy. We do not have objective data to assess the best way of delivery. Further and large studies are needed although they are difficult to be carried through. (C) 2008 Elsevier Masson SAS. Tous droits reserves.

Experiments considered three salinity levels, regarding NaCl adde

Experiments considered three salinity levels, regarding NaCl added (0.00, 0.75 and 1.50 g L-1), crossed with three competition scenarios

(no priority, priority of Daphnia over Simocephalus, and vice-versa). At lower NaCl concentrations (0.00 and 0.75 g L-1), Daphnia was a significantly superior competitor, irrespective of the species inoculation order, suggesting negligible priority effects. However, the strong decrease in Daphnia population growth at 1.50 g L-1 alleviated the competitive pressure on Simocephalus, causing an inversion of the competitive outcome in favour of Simocephalus. The intensity of this inversion depended on the competition scenario. This salinity-mediated disruption of the competitive outcome demonstrates that subtle environmental changes produce indirect effects in AMN-107 inhibitor key ecological mechanisms, thus altering community composition, which may lead to serious implications in terms of ecosystem functioning (e. g. lake regime shifts due to reduced grazing) and biodiversity.”
“Objective

The long-term VX-770 concentration social outcome in patients with juvenile myoclonic epilepsy (JME) is still controversial. The aim of this study was both to investigate the long-term social outcome in relation to clinical variables and to identify epilepsy-related factors that affect the quality of life (QoL) in JME patients with a follow-up of at least 20years. Methods A retrospective selection of 33 of MLN4924 90 patients (21 female) from a tertiary epilepsy center diagnosed with JME and followed for >= 20years (mean 37.8years) was studied. All patients were evaluated with a thorough review of their medical records, and a subsequent face-to-face or telephone interview. QOLIE-31-P questionnaire

(QoL In Epilepsy) and Beck Depression Inventory-II were used to assess the QoL and the presence and severity of depressive symptoms, respectively. Results Of 33 patients, 18 (54.5%) became seizure-free; in 4 of the patients (22.2%), antiepileptic drug (AED) treatment was discontinued. Early and long-term seizure freedom improves both social adjustment (p=0.02) and occupational integration (p=0.02) and associates with a better QoL (odds ratio [OR] 2.25). A high seizure burden highly affects both aspects of personal life-family and work; notably the occurrence of frequent and/or late onset generalized tonic-clonic seizures increases the risk of concomitant diseases (p=0.05) and lifelong AED treatment (p=0.03), decreases the patient’s employability (p=0.02), increases the rate of employment disability pension (p=0.05), and considerably increases public/social spending. Seizure freedom significantly increases the QoL (p=0.001), whereas more severe courses of epilepsy (OR 3.2), AED side effects (p=0.04), depression (p=0.02), and sleep disturbances (OR 2.7) considerably decrease the patient’s QoL.