id
string
1.94M
3.43M
tokens
sequence
bboxes
sequence
ner_tags
sequence
image
image
2863157
[ "SAGE-Hindawi", "Access", "to", "Research", "Veterinary", "Medicine", "International", "Volume", "2010,", "Article", "ID", "485060,", "5", "pages", "doi:10.4061/2010/485060", "Research", "Article", "The", "Immune", "Enhancement", "of", "Sodium", "Lauryl", "Sulfoacetate", "in", "Chickens", "DaRong", "Cheng,1", "ShanYuan", "Zhu,2", "and", "HuaiChang", "Sun1", "1", "College", "of", "Veterinary", "Medicine,", "Yangzhou", "University,", "Yangzhou", "225009,", "China", "2", "Department", "of", "Pharmacy,", "Jiangsu", "Animal", "Husbandry", "and", "Veterinary", "College,", "Taizhou", "225300,", "China", "Correspondence", "should", "be", "addressed", "to", "DaRong", "Cheng,", "jsyzcdr@yahoo.com.cn", "Received", "27", "August", "2009;", "Revised", "10", "January", "2010;", "Accepted", "2", "March", "2010", "Academic", "Editor:", "Maurice", "Pensaert", "Copyright", "©", "2010", "DaRong", "Cheng", "et", "al.", "This", "is", "an", "open", "access", "article", "distributed", "under", "the", "Creative", "Commons", "Attribution", "License,", "which", "permits", "unrestricted", "use,", "distribution,", "and", "reproduction", "in", "any", "medium,", "provided", "the", "original", "work", "is", "properly", "cited.", "The", "purpose", "of", "this", "study", "is", "to", "investigate", "feasibility", "of", "sodium", "lauryl", "sulfoacetate", "(SLS)", "as", "an", "immunoadjuvant", "in", "chickens.", "After", "treating", "with", "62.5,", "125,", "250,", "or", "500", "μg/mL", "SLS", "in", "vitro,", "lymphocyte", "proliferation", "assay", "of", "chicken", "peripheral", "blood", "mononuclear", "cells", "showed", "that", "the", "OD570", "values", "of", "all", "experimental", "groups,", "as", "well", "as", "Con", "A-stimulated", "group,", "were", "significantly", "higher", "than", "that", "of", "the", "untreated", "control", "group.", "After", "injection", "with", "1.0,", "2.0,", "or", "4.0", "mg/kg", "of", "SLS", "for", "3", "consecutive", "days,", "chickens", "were", "vaccinated", "with", "an", "attenuated", "vaccine", "against", "Newcastle", "disease", "virus", "(NDV),", "and", "the", "immunoadjuvant", "effects", "of", "SLS", "were", "evaluated", "on", "the", "basis", "of", "immune", "organ", "index,", "antibody", "response,", "and", "CD4+/CD8+", "T-cell", "ratio.", "The", "results", "confirmed", "that", "SLS", "could", "enhance", "NDV-", "specific", "antibody", "response", "and", "increase", "CD4+/CD8+", "T-cell", "ratio", "in", "vivo.", "Furthermore,", "SLS", "could", "improve", "NDV-specific", "antibody", "response", "in", "thiamphenicol-treated", "chickens.", "These", "data", "indicate", "that", "SLS", "not", "only", "can", "improve", "humoral", "immune", "response", "but", "also", "reverse", "the", "immunosuppressive", "effect", "of", "thiamphenicol", "in", "chickens.", "1.", "Introduction", "Houttuynia", "cordata", "thunb", "(Saururaceae,", "HC)", "is", "a", "therapeutic", "drug", "which", "has", "been", "used", "for", "the", "treatment", "of", "infections,", "allergy", "and", "cancers", "[1–9].", "The", "major", "active", "component", "of", "the", "herb", "is", "houttuynin,", "which", "is", "present", "in", "the", "fraction", "of", "volatile", "oil", "with", "antimicrobial,", "antioxidative,", "antimuta-", "genic,", "and", "immunoadjuvant", "effects", "[10–12].", "The", "modified", "form", "of", "houttuynin,", "called", "sodium", "houttuyfonate", "(SH,", "C12H23NaO5S,", "MW", "302.36),", "has", "potent", "immunoadjuvant", "effects", "including", "promotion", "of", "phagocytosis", "and", "secretion", "of", "lysozyme,", "acidic", "phosphatase", "and", "IL-1β", "by", "macrophages", "[13–16].", "To", "reduce", "the", "cytotoxicitic", "effect", "of", "SH,", "sodium", "lauryl", "sulfoacetate", "(SLS,", "brand", "name", "is", "sodium", "new", "houttuy-", "fonate,", "SNH,", "C14H27NaO5S,", "MW", "330.4,", "Figure", "1)", "has", "been", "generated", "by", "additive", "reaction", "with", "houttuynin", "and", "sodium", "bisulfite,", "which", "has", "also", "been", "widely", "used", "for", "the", "treat-", "ment", "of", "infections,", "inflammation,", "anaphylaxis,", "and", "cancers", "[17,", "18].", "To", "investigate", "the", "feasibility", "of", "SLS", "as", "an", "immunoad-", "juvant", "for", "chickens,", "in", "this", "study", "lymphocyte", "prolifera-", "tion", "assay", "was", "performed", "using", "chicken", "peripheral", "blood", "mononuclear", "cells", "(PBMCs)", "in", "the", "presence", "of", "different", "doses", "of", "SLS.", "Then,", "the", "in", "vivo", "immunoadjuvant", "effect", "was", "confirmed", "according", "to", "the", "immune", "organ", "index,", "antibody", "response,", "and", "CD4+/CD8+", "T-cell", "ratio", "of", "the", "chickens", "vaccinated", "with", "an", "attenuated", "vaccine", "against", "Newcastle", "disease", "virus", "(NDV)", "with", "SLS", "or", "SLS", "plus", "thiamphenicol", "treatment.", "2.", "Materials", "and", "Methods", "2.1.", "Materials", "and", "Animals.", "11-day-old", "unvaccinated", "local", "breed", "Shanhuang", "chickens", "were", "provided", "by", "the", "Jiangsu", "Institute", "of", "Poultry", "Science.", "0.2%", "SLS", "in", "0.85%", "sodium", "chloride", "solution", "was", "provided", "by", "the", "Animal", "Pharma-", "ceutical", "Center,", "Jiangsu", "Animal", "Husbandry", "and", "Veteri-", "nary", "College.", "Ficoll-paque", "lymphocyte", "separation", "medium", "(5.7%", "(w/v)", "ficoll", "400,", "9.0%", "(w/v)", "sodium", "diatrizoate,", "and", "D", "=", "1.077", "±", "0.002)", "was", "from", "Shanghai", "Huajing", "Bio-tech", "Company", "Limited.", "RPMI", "1640", "medium", "was", "the", "product", "of", "GIBCO", "(USA).", "Fetal", "calf", "serum", "(FCS)", "was", "purchased", "from", "Hangzhou", "Sijiqing", "Biological", "Engineer-", "ing", "Materials", "Company", "Limited.", "Concanavalin", "A", "(Con", "A),", "methylthiazolyldiphenyl-tetrazolium", "MTT", "bromide,", "and" ]
[ [ 70, 61, 69, 12 ], [ 141, 61, 29, 12 ], [ 172, 61, 10, 12 ], [ 183, 61, 40, 12 ], [ 70, 75, 47, 11 ], [ 119, 75, 42, 11 ], [ 162, 75, 59, 11 ], [ 70, 88, 35, 12 ], [ 107, 88, 24, 12 ], [ 133, 88, 30, 12 ], [ 166, 88, 12, 12 ], [ 180, 88, 35, 12 ], [ 217, 88, 6, 12 ], [ 225, 88, 25, 12 ], [ 70, 101, 112, 12 ], [ 70, 187, 84, 25 ], [ 160, 187, 64, 25 ], [ 70, 220, 41, 25 ], [ 116, 220, 91, 25 ], [ 212, 220, 146, 25 ], [ 362, 220, 22, 25 ], [ 389, 220, 83, 25 ], [ 476, 220, 71, 25 ], [ 70, 248, 129, 25 ], [ 204, 248, 22, 25 ], [ 230, 248, 97, 25 ], [ 120, 316, 58, 17 ], [ 180, 315, 56, 18 ], [ 239, 316, 72, 17 ], [ 314, 315, 39, 18 ], [ 356, 316, 27, 17 ], [ 386, 316, 81, 17 ], [ 470, 315, 33, 18 ], [ 120, 346, 4, 9 ], [ 126, 347, 35, 13 ], [ 163, 347, 9, 13 ], [ 175, 347, 51, 13 ], [ 229, 347, 48, 13 ], [ 279, 347, 47, 13 ], [ 328, 347, 52, 13 ], [ 383, 347, 47, 13 ], [ 432, 347, 39, 13 ], [ 473, 347, 30, 13 ], [ 120, 361, 4, 9 ], [ 126, 362, 59, 13 ], [ 188, 362, 9, 13 ], [ 200, 362, 52, 13 ], [ 254, 362, 36, 13 ], [ 292, 362, 36, 13 ], [ 331, 362, 55, 13 ], [ 388, 362, 19, 13 ], [ 409, 362, 51, 13 ], [ 463, 362, 38, 13 ], [ 503, 362, 39, 13 ], [ 545, 362, 39, 13 ], [ 586, 362, 31, 13 ], [ 120, 387, 82, 13 ], [ 205, 387, 34, 13 ], [ 241, 387, 12, 13 ], [ 256, 387, 49, 13 ], [ 308, 387, 11, 13 ], [ 321, 387, 41, 13 ], [ 365, 387, 36, 13 ], [ 403, 387, 114, 13 ], [ 120, 412, 44, 13 ], [ 166, 412, 12, 13 ], [ 181, 412, 36, 13 ], [ 219, 412, 27, 13 ], [ 249, 412, 39, 13 ], [ 290, 412, 12, 13 ], [ 305, 412, 39, 13 ], [ 346, 412, 27, 13 ], [ 376, 412, 45, 13 ], [ 424, 412, 6, 13 ], [ 433, 412, 33, 13 ], [ 468, 412, 24, 13 ], [ 120, 438, 49, 13 ], [ 172, 438, 35, 13 ], [ 209, 438, 42, 13 ], [ 253, 438, 43, 13 ], [ 120, 463, 51, 13 ], [ 174, 463, 9, 13 ], [ 186, 463, 24, 13 ], [ 213, 463, 41, 13 ], [ 257, 463, 33, 13 ], [ 292, 463, 10, 13 ], [ 304, 463, 12, 13 ], [ 318, 463, 22, 13 ], [ 342, 463, 8, 13 ], [ 352, 463, 13, 13 ], [ 366, 463, 26, 13 ], [ 394, 463, 30, 13 ], [ 426, 463, 31, 13 ], [ 459, 463, 55, 13 ], [ 516, 463, 30, 13 ], [ 548, 463, 16, 13 ], [ 566, 463, 41, 13 ], [ 609, 463, 53, 13 ], [ 664, 463, 57, 13 ], [ 723, 463, 40, 13 ], [ 120, 478, 31, 13 ], [ 153, 478, 39, 13 ], [ 194, 478, 61, 13 ], [ 258, 478, 20, 13 ], [ 280, 478, 63, 13 ], [ 345, 478, 19, 13 ], [ 367, 478, 66, 13 ], [ 436, 478, 11, 13 ], [ 449, 478, 18, 13 ], [ 469, 478, 46, 13 ], [ 517, 478, 45, 13 ], [ 565, 478, 16, 13 ], [ 584, 478, 39, 13 ], [ 625, 478, 26, 13 ], [ 654, 478, 8, 13 ], [ 664, 478, 43, 13 ], [ 710, 478, 28, 13 ], [ 120, 504, 20, 13 ], [ 142, 504, 41, 13 ], [ 186, 504, 10, 13 ], [ 199, 504, 19, 13 ], [ 220, 504, 28, 13 ], [ 250, 504, 8, 13 ], [ 261, 504, 11, 13 ], [ 274, 504, 53, 13 ], [ 329, 504, 48, 13 ], [ 380, 504, 10, 13 ], [ 393, 504, 38, 13 ], [ 434, 504, 29, 13 ], [ 466, 504, 59, 13 ], [ 527, 504, 28, 13 ], [ 558, 504, 10, 13 ], [ 570, 504, 13, 13 ], [ 586, 504, 88, 13 ], [ 676, 504, 11, 13 ], [ 689, 504, 46, 13 ], [ 737, 504, 26, 13 ], [ 120, 519, 39, 13 ], [ 162, 519, 23, 13 ], [ 188, 519, 24, 13 ], [ 215, 519, 21, 13 ], [ 239, 519, 21, 13 ], [ 263, 519, 11, 13 ], [ 277, 519, 18, 13 ], [ 297, 519, 33, 13 ], [ 333, 519, 19, 13 ], [ 355, 519, 11, 13 ], [ 368, 519, 27, 13 ], [ 398, 519, 59, 13 ], [ 460, 519, 64, 13 ], [ 526, 519, 25, 13 ], [ 554, 519, 10, 13 ], [ 568, 519, 39, 13 ], [ 609, 519, 52, 13 ], [ 664, 519, 29, 13 ], [ 696, 519, 67, 13 ], [ 120, 533, 21, 13 ], [ 143, 533, 38, 13 ], [ 183, 533, 20, 13 ], [ 205, 533, 16, 13 ], [ 223, 533, 31, 14 ], [ 256, 533, 31, 13 ], [ 289, 533, 11, 13 ], [ 302, 533, 12, 13 ], [ 316, 533, 66, 13 ], [ 383, 533, 38, 13 ], [ 423, 533, 10, 13 ], [ 435, 533, 20, 13 ], [ 457, 533, 10, 13 ], [ 469, 533, 22, 13 ], [ 493, 533, 65, 13 ], [ 560, 533, 33, 13 ], [ 595, 533, 24, 13 ], [ 621, 533, 61, 13 ], [ 683, 533, 33, 13 ], [ 718, 533, 23, 13 ], [ 743, 533, 20, 13 ], [ 120, 548, 11, 13 ], [ 133, 548, 16, 13 ], [ 152, 548, 49, 13 ], [ 203, 548, 37, 13 ], [ 243, 548, 33, 13 ], [ 279, 548, 26, 13 ], [ 307, 548, 45, 13 ], [ 354, 548, 23, 13 ], [ 380, 548, 18, 13 ], [ 401, 548, 19, 13 ], [ 422, 548, 11, 13 ], [ 436, 548, 15, 13 ], [ 453, 548, 32, 13 ], [ 488, 548, 11, 13 ], [ 501, 548, 19, 13 ], [ 523, 548, 15, 13 ], [ 540, 548, 6, 13 ], [ 550, 548, 58, 13 ], [ 610, 548, 25, 13 ], [ 638, 548, 43, 13 ], [ 684, 548, 24, 13 ], [ 710, 548, 53, 13 ], [ 120, 562, 23, 13 ], [ 146, 562, 13, 13 ], [ 161, 562, 53, 13 ], [ 217, 562, 37, 13 ], [ 257, 562, 35, 13 ], [ 295, 562, 48, 13 ], [ 346, 562, 34, 13 ], [ 383, 562, 25, 13 ], [ 410, 562, 39, 13 ], [ 452, 562, 19, 13 ], [ 474, 562, 16, 13 ], [ 493, 562, 88, 13 ], [ 584, 562, 32, 13 ], [ 618, 562, 11, 13 ], [ 632, 562, 19, 13 ], [ 653, 562, 24, 13 ], [ 680, 562, 48, 13 ], [ 730, 562, 14, 13 ], [ 747, 562, 16, 13 ], [ 120, 577, 25, 13 ], [ 146, 577, 10, 13 ], [ 159, 577, 43, 13 ], [ 204, 577, 30, 13 ], [ 235, 577, 31, 13 ], [ 268, 577, 45, 13 ], [ 314, 577, 47, 13 ], [ 363, 577, 19, 13 ], [ 384, 575, 60, 16 ], [ 446, 577, 29, 13 ], [ 477, 577, 27, 13 ], [ 506, 577, 20, 13 ], [ 527, 577, 33, 13 ], [ 562, 577, 52, 13 ], [ 616, 577, 20, 13 ], [ 638, 577, 19, 13 ], [ 659, 577, 28, 13 ], [ 689, 577, 42, 13 ], [ 732, 577, 31, 13 ], [ 120, 591, 37, 13 ], [ 160, 591, 45, 13 ], [ 207, 591, 44, 13 ], [ 254, 591, 19, 13 ], [ 276, 591, 40, 13 ], [ 319, 589, 60, 16 ], [ 382, 591, 29, 13 ], [ 414, 591, 24, 13 ], [ 440, 591, 11, 13 ], [ 454, 591, 24, 13 ], [ 480, 591, 68, 13 ], [ 551, 591, 19, 13 ], [ 572, 591, 28, 13 ], [ 603, 591, 42, 13 ], [ 648, 591, 67, 13 ], [ 718, 591, 45, 13 ], [ 120, 606, 44, 13 ], [ 167, 606, 11, 13 ], [ 181, 606, 112, 13 ], [ 297, 606, 46, 13 ], [ 346, 606, 30, 13 ], [ 379, 606, 22, 13 ], [ 404, 606, 40, 13 ], [ 447, 606, 20, 13 ], [ 470, 606, 19, 13 ], [ 492, 606, 18, 13 ], [ 513, 606, 22, 13 ], [ 539, 606, 18, 13 ], [ 560, 606, 42, 13 ], [ 605, 606, 44, 13 ], [ 652, 606, 43, 13 ], [ 698, 606, 44, 13 ], [ 746, 606, 17, 13 ], [ 120, 620, 20, 13 ], [ 142, 620, 35, 13 ], [ 180, 620, 16, 13 ], [ 198, 620, 101, 13 ], [ 302, 620, 27, 13 ], [ 331, 620, 10, 13 ], [ 344, 620, 73, 13 ], [ 420, 620, 10, 13 ], [ 433, 620, 46, 13 ], [ 70, 674, 13, 17 ], [ 86, 674, 92, 17 ], [ 70, 703, 63, 14 ], [ 135, 703, 40, 14 ], [ 178, 703, 34, 14 ], [ 215, 703, 76, 14 ], [ 293, 703, 25, 14 ], [ 321, 703, 9, 14 ], [ 332, 703, 7, 14 ], [ 341, 703, 64, 14 ], [ 70, 719, 27, 14 ], [ 101, 719, 34, 14 ], [ 140, 719, 19, 14 ], [ 164, 719, 27, 14 ], [ 195, 719, 26, 14 ], [ 226, 719, 17, 14 ], [ 247, 719, 18, 14 ], [ 270, 719, 55, 14 ], [ 329, 719, 12, 14 ], [ 346, 719, 58, 14 ], [ 70, 735, 37, 14 ], [ 112, 735, 21, 14 ], [ 138, 735, 41, 14 ], [ 183, 735, 34, 14 ], [ 222, 735, 22, 14 ], [ 249, 735, 34, 14 ], [ 287, 735, 32, 14 ], [ 324, 735, 64, 14 ], [ 392, 735, 12, 14 ], [ 70, 751, 18, 14 ], [ 94, 751, 26, 14 ], [ 126, 751, 9, 14 ], [ 142, 751, 67, 14 ], [ 215, 751, 34, 14 ], [ 255, 751, 9, 14 ], [ 270, 751, 41, 14 ], [ 318, 751, 12, 14 ], [ 336, 751, 18, 14 ], [ 360, 751, 44, 14 ], [ 70, 766, 12, 14 ], [ 87, 766, 41, 14 ], [ 133, 766, 15, 14 ], [ 153, 766, 25, 14 ], [ 183, 766, 79, 14 ], [ 267, 766, 75, 14 ], [ 348, 766, 56, 14 ], [ 70, 782, 33, 14 ], [ 107, 782, 21, 14 ], [ 133, 782, 97, 14 ], [ 235, 782, 35, 15 ], [ 275, 782, 48, 14 ], [ 327, 782, 22, 14 ], [ 353, 782, 51, 14 ], [ 70, 798, 28, 14 ], [ 106, 798, 12, 14 ], [ 126, 798, 67, 14 ], [ 200, 798, 32, 14 ], [ 240, 798, 42, 14 ], [ 291, 798, 80, 14 ], [ 378, 798, 26, 14 ], [ 70, 814, 82, 15 ], [ 157, 814, 26, 14 ], [ 189, 814, 46, 14 ], [ 240, 814, 19, 14 ], [ 264, 814, 37, 14 ], [ 307, 814, 97, 14 ], [ 70, 830, 35, 15 ], [ 110, 830, 53, 14 ], [ 168, 830, 61, 14 ], [ 234, 830, 12, 14 ], [ 251, 830, 72, 14 ], [ 327, 830, 21, 14 ], [ 354, 830, 50, 14 ], [ 70, 845, 12, 14 ], [ 85, 845, 55, 14 ], [ 144, 845, 33, 14 ], [ 180, 845, 69, 14 ], [ 253, 845, 21, 14 ], [ 278, 845, 31, 15 ], [ 313, 845, 14, 14 ], [ 331, 845, 73, 14 ], [ 70, 861, 48, 14 ], [ 123, 861, 14, 14 ], [ 143, 861, 37, 14 ], [ 186, 861, 18, 14 ], [ 209, 861, 68, 14 ], [ 283, 861, 30, 15 ], [ 318, 861, 12, 14 ], [ 335, 861, 21, 14 ], [ 362, 861, 42, 14 ], [ 70, 877, 33, 14 ], [ 105, 877, 65, 14 ], [ 172, 877, 30, 14 ], [ 204, 877, 34, 14 ], [ 240, 877, 31, 14 ], [ 273, 877, 9, 14 ], [ 285, 877, 42, 14 ], [ 329, 877, 23, 14 ], [ 355, 877, 50, 14 ], [ 70, 893, 39, 14 ], [ 112, 893, 31, 14 ], [ 147, 893, 82, 15 ], [ 233, 893, 26, 14 ], [ 263, 893, 34, 14 ], [ 300, 893, 36, 14 ], [ 339, 893, 12, 14 ], [ 355, 893, 19, 14 ], [ 377, 893, 27, 14 ], [ 70, 909, 55, 14 ], [ 128, 909, 14, 14 ], [ 145, 909, 45, 14 ], [ 193, 909, 46, 14 ], [ 242, 909, 25, 14 ], [ 270, 909, 63, 14 ], [ 337, 909, 21, 14 ], [ 362, 909, 42, 14 ], [ 70, 924, 48, 14 ], [ 124, 924, 34, 14 ], [ 165, 924, 19, 14 ], [ 190, 924, 22, 14 ], [ 218, 924, 27, 14 ], [ 251, 924, 37, 14 ], [ 294, 924, 26, 14 ], [ 326, 924, 17, 14 ], [ 349, 924, 18, 14 ], [ 373, 924, 31, 14 ], [ 70, 940, 30, 14 ], [ 103, 940, 12, 14 ], [ 119, 940, 58, 14 ], [ 181, 940, 80, 14 ], [ 265, 940, 69, 14 ], [ 338, 940, 21, 14 ], [ 363, 940, 41, 14 ], [ 70, 956, 22, 14 ], [ 95, 956, 22, 14 ], [ 91, 972, 14, 14 ], [ 110, 972, 59, 14 ], [ 174, 972, 18, 14 ], [ 198, 972, 54, 14 ], [ 257, 972, 12, 14 ], [ 274, 972, 21, 14 ], [ 300, 972, 11, 14 ], [ 317, 972, 14, 14 ], [ 337, 972, 67, 14 ], [ 70, 987, 36, 14 ], [ 112, 987, 17, 14 ], [ 136, 987, 51, 14 ], [ 194, 987, 12, 14 ], [ 213, 987, 21, 14 ], [ 241, 987, 31, 14 ], [ 278, 987, 66, 14 ], [ 351, 987, 53, 14 ], [ 70, 1003, 23, 14 ], [ 99, 1003, 28, 14 ], [ 132, 1003, 21, 14 ], [ 159, 1003, 60, 14 ], [ 224, 1003, 30, 14 ], [ 260, 1003, 43, 14 ], [ 308, 1003, 58, 14 ], [ 371, 1003, 33, 14 ], [ 70, 1019, 75, 14 ], [ 151, 1019, 24, 14 ], [ 182, 1019, 53, 14 ], [ 241, 1019, 12, 14 ], [ 259, 1019, 18, 14 ], [ 284, 1019, 48, 14 ], [ 338, 1019, 12, 14 ], [ 356, 1019, 48, 14 ], [ 428, 676, 30, 14 ], [ 462, 676, 12, 14 ], [ 478, 676, 24, 14 ], [ 506, 676, 33, 14 ], [ 542, 676, 18, 14 ], [ 564, 676, 12, 14 ], [ 579, 676, 24, 14 ], [ 607, 676, 97, 14 ], [ 708, 676, 30, 15 ], [ 741, 676, 21, 14 ], [ 428, 691, 58, 14 ], [ 490, 691, 55, 14 ], [ 549, 691, 12, 14 ], [ 564, 691, 18, 14 ], [ 586, 691, 48, 14 ], [ 638, 691, 33, 14 ], [ 674, 691, 35, 14 ], [ 713, 691, 50, 14 ], [ 428, 707, 52, 14 ], [ 489, 707, 21, 14 ], [ 518, 705, 67, 18 ], [ 594, 707, 32, 14 ], [ 634, 707, 27, 14 ], [ 669, 707, 12, 14 ], [ 689, 707, 18, 14 ], [ 714, 707, 48, 14 ], [ 428, 723, 59, 14 ], [ 494, 723, 26, 14 ], [ 527, 723, 14, 14 ], [ 548, 723, 59, 14 ], [ 614, 723, 41, 14 ], [ 662, 723, 39, 14 ], [ 709, 723, 54, 14 ], [ 428, 739, 37, 14 ], [ 471, 739, 27, 14 ], [ 504, 739, 40, 14 ], [ 550, 739, 25, 14 ], [ 581, 739, 21, 14 ], [ 607, 739, 13, 14 ], [ 625, 739, 21, 14 ], [ 652, 739, 24, 14 ], [ 681, 739, 81, 14 ], [ 428, 755, 58, 14 ], [ 428, 800, 13, 17 ], [ 444, 800, 67, 17 ], [ 514, 800, 27, 17 ], [ 544, 800, 62, 17 ], [ 428, 830, 20, 14 ], [ 453, 830, 52, 14 ], [ 510, 830, 21, 14 ], [ 536, 830, 48, 14 ], [ 591, 830, 61, 14 ], [ 657, 830, 74, 14 ], [ 736, 830, 26, 14 ], [ 428, 846, 31, 14 ], [ 466, 846, 63, 14 ], [ 535, 846, 48, 14 ], [ 589, 846, 26, 14 ], [ 621, 846, 50, 14 ], [ 677, 846, 14, 14 ], [ 697, 846, 18, 14 ], [ 721, 846, 41, 14 ], [ 428, 861, 47, 14 ], [ 481, 861, 12, 14 ], [ 499, 861, 42, 14 ], [ 547, 861, 45, 14 ], [ 598, 861, 29, 14 ], [ 633, 861, 21, 14 ], [ 660, 861, 12, 14 ], [ 678, 861, 35, 14 ], [ 720, 861, 42, 14 ], [ 428, 877, 46, 14 ], [ 481, 877, 46, 14 ], [ 534, 877, 21, 14 ], [ 562, 877, 50, 14 ], [ 619, 877, 14, 14 ], [ 640, 877, 18, 14 ], [ 665, 877, 41, 14 ], [ 713, 877, 49, 14 ], [ 428, 893, 42, 14 ], [ 479, 893, 40, 14 ], [ 527, 893, 41, 14 ], [ 575, 893, 41, 14 ], [ 625, 893, 63, 14 ], [ 695, 893, 21, 14 ], [ 724, 893, 38, 14 ], [ 428, 909, 26, 14 ], [ 458, 909, 45, 14 ], [ 508, 909, 70, 14 ], [ 582, 909, 66, 14 ], [ 652, 909, 58, 14 ], [ 715, 909, 47, 14 ], [ 428, 925, 34, 14 ], [ 470, 925, 31, 14 ], [ 508, 925, 28, 14 ], [ 543, 925, 24, 14 ], [ 575, 925, 29, 14 ], [ 611, 925, 31, 14 ], [ 650, 925, 42, 14 ], [ 700, 925, 63, 14 ], [ 428, 940, 21, 14 ], [ 456, 940, 11, 14 ], [ 473, 945, 10, 13 ], [ 497, 940, 30, 15 ], [ 536, 945, 10, 13 ], [ 556, 940, 35, 15 ], [ 598, 940, 21, 14 ], [ 625, 940, 28, 14 ], [ 659, 940, 52, 14 ], [ 717, 940, 45, 14 ], [ 428, 956, 47, 14 ], [ 481, 956, 55, 14 ], [ 541, 956, 47, 14 ], [ 594, 956, 34, 14 ], [ 633, 956, 27, 14 ], [ 665, 956, 48, 14 ], [ 718, 956, 21, 14 ], [ 744, 956, 18, 14 ], [ 428, 972, 45, 14 ], [ 480, 972, 12, 14 ], [ 499, 972, 42, 14 ], [ 549, 972, 40, 14 ], [ 596, 972, 27, 14 ], [ 631, 972, 20, 14 ], [ 658, 972, 35, 14 ], [ 700, 972, 34, 14 ], [ 741, 972, 21, 14 ], [ 428, 988, 57, 14 ], [ 493, 988, 28, 14 ], [ 529, 988, 58, 14 ], [ 595, 988, 42, 14 ], [ 645, 988, 55, 14 ], [ 707, 988, 55, 14 ], [ 428, 1004, 18, 14 ], [ 454, 1004, 52, 14 ], [ 514, 1004, 55, 14 ], [ 576, 1004, 47, 14 ], [ 632, 1004, 76, 14 ], [ 716, 1004, 9, 14 ], [ 733, 1004, 29, 14 ], [ 428, 1019, 18, 14 ], [ 449, 1019, 204, 14 ], [ 655, 1019, 30, 14 ], [ 687, 1019, 51, 14 ], [ 741, 1019, 21, 14 ] ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 6, 6, 6, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 13, 13, 13, 13, 13, 13, 13, 13, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 18, 18, 18, 18, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 ]
3430706
[ "Three", "Dimensional", "Assessment", "of", "the", "Pharyngeal", "Airway", "in", "Individuals", "with", "Non-Syndromic", "Cleft", "Lip", "and", "Palate", "Tracy", "Cheung1,", "Snehlata", "Oberoi2*", "1", "University", "of", "California", "Los", "Angeles,", "Los", "Angeles,", "California,", "United", "States", "of", "America,", "2", "Division", "of", "Orthodontics,", "Department", "of", "Orofacial", "Sciences,", "School", "of", "Dentistry,", "University", "of", "California", "San", "Francisco,", "San", "Francisco,", "California,", "United", "States", "of", "America", "Abstract", "Introduction:", "Children", "with", "cleft", "lip", "and", "palate", "(CLP)", "are", "known", "to", "have", "airway", "problems.", "Previous", "studies", "have", "shown", "that", "individuals", "with", "CLP", "have", "a", "30%", "reduction", "in", "nasal", "airway", "size", "compared", "to", "non-cleft", "controls.", "No", "reports", "have", "been", "found", "on", "cross-sectional", "area", "and", "volume", "of", "the", "pharyngeal", "airway", "in", "clefts.", "Introduction", "of", "Cone-Beam", "CT", "(CBCT)", "and", "imaging", "software", "has", "facilitated", "generation", "of", "3D", "images", "for", "assessment", "of", "the", "cross-sectional", "area", "and", "volume", "of", "the", "airway.", "Objective:", "To", "assess", "the", "pharyngeal", "airway", "in", "individuals", "with", "CLP", "using", "CBCT", "by", "measuring", "volume", "and", "smallest", "cross-", "sectional", "areas", "and", "compare", "with", "19", "age-", "and", "sex-matched", "non-cleft", "controls.", "Methods:", "Retrospective", "study", "of", "CBCT", "data", "of", "pre-adolescent", "individuals", "(N", "=", "19,", "Mean", "age", "=", "10.6,", "7", "females,", "12", "males,", "UCLP", "=", "6,", "BCLP", "=", "3)", "from", "the", "Center", "for", "Craniofacial", "Anomalies.", "Volumetric", "analysis", "was", "performed", "using", "image", "segmentation", "features", "in", "CB", "Works", "3.0.", "Volume", "and", "smallest", "cross-sectional", "were", "studied", "in", "both", "groups.", "Seven", "measurements", "were", "repeated", "to", "verify", "reliability", "using", "Pearson", "correlation", "coefficient.", "Volume", "and", "cross-sectional", "area", "differences", "were", "analyzed", "using", "paired", "t-tests.", "Results:", "The", "method", "was", "found", "to", "be", "reliable.", "Individuals", "with", "CLP", "did", "not", "exhibit", "smaller", "total", "airway", "volume", "and", "cross", "sectional", "area", "than", "non-CLP", "controls.", "Conclusion:", "3D", "imaging", "using", "CBCT", "and", "CB", "Works", "is", "reliable", "for", "assessing", "airway", "volume.", "Previous", "studies", "have", "shown", "that", "the", "nasal", "airway", "is", "restricted", "in", "individuals", "with", "CLP.", "In", "our", "study,", "we", "found", "that", "the", "pharyngeal", "airway", "is", "not", "compromised", "in", "these", "individuals.", "Citation:", "Cheung", "T,", "Oberoi", "S", "(2012)", "Three", "Dimensional", "Assessment", "of", "the", "Pharyngeal", "Airway", "in", "Individuals", "with", "Non-Syndromic", "Cleft", "Lip", "and", "Palate.", "PLoS", "ONE", "7(8):", "e43405.", "doi:10.1371/journal.pone.0043405", "Editor:", "Noam", "A.", "Cohen,", "Hospital", "of", "the", "University", "of", "Pennsylvania,", "United", "States", "of", "America", "Received", "March", "21,", "2012;", "Accepted", "July", "20,", "2012;", "Published", "August", "29,", "2012", "Copyright:", "2012", "Cheung,", "Oberoi.", "This", "is", "an", "open-access", "article", "distributed", "under", "the", "terms", "of", "the", "Creative", "Commons", "Attribution", "License,", "which", "permits", "unrestricted", "use,", "distribution,", "and", "reproduction", "in", "any", "medium,", "provided", "the", "original", "author", "and", "source", "are", "credited.", "Funding:", "No", "current", "external", "funding", "sources", "for", "this", "study.", "Competing", "Interests:", "The", "authors", "have", "declared", "that", "no", "competing", "interests", "exist.", "*", "E-mail:", "sneha.oberoi@ucsf.edu", "Introduction", "Birth", "defects", "affect", "approximately", "3%", "of", "all", "births", "and", "contribute", "substantially", "to", "childhood", "morbidity", "in", "the", "United", "States", "[1].", "Orofacial", "defects", "like", "cleft", "lip", "and/or", "palate", "(CLP)", "occur", "in", "an", "estimated", "6,800", "children", "annually,", "making", "it", "the", "most", "common", "birth", "defect", "in", "the", "United", "States", "[2].", "Anatomical", "abnormalities", "associated", "with", "CLP", "increase", "the", "risk", "of", "airway", "complications", "[3].", "CLP", "are", "frequently", "associated", "with", "nasal", "abnormalities", "such", "as", "septal", "deviation,", "nostril", "atresia,", "turbinate", "hypertrophy,", "maxillary", "constriction,", "vomerine", "spurs,", "and", "alar", "constriction", "[4,5,6,7,8].", "These", "abnormalities", "are", "attributed", "in", "part", "to", "the", "congenital", "defect", "itself", "and", "partly", "to", "the", "surgeries", "done", "to", "repair", "the", "orofacial", "defect", "[9,10].", "Collectively,", "the", "nasal", "abnormalities", "tend", "to", "reduce", "the", "dimensions", "of", "the", "nasal", "cavity", "and", "lower", "airway", "function", "[6,11].", "Airway", "patency", "has", "been", "evaluated", "by", "two-dimensional", "(2D)", "radiographic", "imaging", "such", "as", "lateral", "and", "anterior-posterior", "cephalometric", "films", "and", "functional", "studies", "such", "as", "rhinomano-", "metry", "and", "plethysmography", "[12,13,14,15].", "A", "rhinomanometry", "study", "showed", "that", "individuals", "with", "bilateral", "CLP", "had", "a", "41%", "reduction", "in", "nasal", "airway", "compared", "to", "a", "19%", "reduction", "in", "individuals", "with", "unilateral", "CLP", "[15].", "Plethysmography", "showed", "that", "individuals", "with", "CLP", "had", "a", "30%", "reduction", "in", "the", "nasal", "airway", "compared", "to", "non-cleft", "controls", "[12].", "Lateral", "cephalometric", "films", "of", "children", "with", "CLP", "were", "compared", "with", "non-cleft", "controls", "and", "showed", "a", "reduction", "in", "the", "nasopharyngeal", "bony", "framework", "and", "pharyngeal", "airway", "[16].", "Furthermore,", "a", "reduction", "in", "the", "upper", "airway", "in", "juveniles", "with", "CLP", "was", "found", "when", "compared", "to", "gender", "and", "age", "matched", "non-cleft", "controls", "and", "were", "found", "to", "persist", "through", "adolescence", "when", "lateral", "cephalometric", "films", "were", "compared", "[13].", "Until", "recently,", "diagnostic", "imaging", "of", "the", "airway", "has", "been", "limited", "to", "2D", "studies.", "Two-dimensional", "imaging", "using", "lateral", "head", "films", "is", "useful", "for", "analyzing", "airway", "size", "in", "the", "sagittal", "plane,", "but", "does", "not", "depict", "the", "three-dimensional", "anatomy.", "The", "physiologi-", "cally", "most", "relevant", "information", "is", "obtained", "from", "axial", "images", "which", "are", "perpendicular", "to", "the", "direction", "of", "airflow,", "but", "the", "axial", "plane", "is", "not", "visualized", "on", "lateral", "cephalograms", "[17].", "In", "addition,", "lateral", "cephalometric", "films", "have", "many", "limitations,", "such", "as", "image", "enlargement", "and", "distortion,", "structure", "overlap,", "limited", "identifiable", "landmarks,", "and", "positioning", "problems", "that", "may", "adversely", "affect", "PLOS", "ONE", "|", "www.plosone.org", "1", "August", "2012", "|", "Volume", "7", "|", "Issue", "8", "|", "e43405" ]
[ [ 80, 78, 69, 28 ], [ 156, 78, 152, 28 ], [ 315, 78, 142, 28 ], [ 463, 78, 25, 28 ], [ 495, 78, 40, 28 ], [ 542, 78, 137, 28 ], [ 686, 78, 84, 28 ], [ 80, 109, 23, 28 ], [ 113, 109, 133, 28 ], [ 254, 109, 54, 28 ], [ 317, 109, 188, 28 ], [ 514, 109, 57, 28 ], [ 580, 109, 37, 28 ], [ 626, 109, 47, 28 ], [ 681, 109, 76, 28 ], [ 80, 152, 37, 14 ], [ 121, 150, 62, 17 ], [ 187, 152, 59, 14 ], [ 250, 150, 59, 17 ], [ 80, 175, 6, 10 ], [ 88, 175, 41, 10 ], [ 132, 175, 9, 10 ], [ 144, 175, 39, 10 ], [ 187, 175, 14, 10 ], [ 205, 175, 35, 10 ], [ 243, 175, 14, 10 ], [ 261, 175, 35, 10 ], [ 300, 175, 41, 10 ], [ 344, 175, 28, 10 ], [ 376, 175, 25, 10 ], [ 405, 175, 9, 10 ], [ 417, 175, 36, 10 ], [ 456, 175, 6, 10 ], [ 464, 175, 33, 10 ], [ 500, 175, 9, 10 ], [ 512, 175, 56, 10 ], [ 572, 175, 50, 10 ], [ 626, 175, 9, 10 ], [ 638, 175, 36, 10 ], [ 80, 189, 37, 10 ], [ 120, 189, 28, 10 ], [ 151, 189, 9, 10 ], [ 162, 189, 39, 10 ], [ 204, 189, 41, 10 ], [ 248, 189, 9, 10 ], [ 259, 189, 39, 10 ], [ 301, 189, 15, 10 ], [ 319, 189, 40, 10 ], [ 362, 189, 15, 10 ], [ 380, 189, 41, 10 ], [ 423, 189, 41, 10 ], [ 467, 189, 28, 10 ], [ 497, 189, 25, 10 ], [ 525, 189, 9, 10 ], [ 536, 189, 34, 10 ], [ 102, 227, 57, 14 ], [ 101, 255, 71, 13 ], [ 176, 255, 44, 13 ], [ 223, 255, 24, 13 ], [ 250, 255, 23, 13 ], [ 275, 255, 13, 13 ], [ 291, 255, 20, 13 ], [ 314, 255, 33, 13 ], [ 350, 255, 27, 13 ], [ 380, 255, 17, 13 ], [ 399, 255, 36, 13 ], [ 438, 255, 11, 13 ], [ 452, 255, 25, 13 ], [ 480, 255, 34, 13 ], [ 517, 255, 53, 13 ], [ 572, 255, 45, 13 ], [ 620, 255, 37, 13 ], [ 660, 255, 26, 13 ], [ 688, 255, 35, 13 ], [ 726, 255, 22, 13 ], [ 102, 269, 56, 13 ], [ 161, 269, 24, 13 ], [ 188, 269, 20, 13 ], [ 211, 269, 26, 13 ], [ 239, 269, 6, 13 ], [ 248, 269, 23, 13 ], [ 274, 269, 51, 13 ], [ 328, 269, 10, 13 ], [ 341, 269, 27, 13 ], [ 371, 269, 34, 13 ], [ 408, 269, 20, 13 ], [ 430, 269, 54, 13 ], [ 487, 269, 11, 13 ], [ 501, 269, 47, 13 ], [ 551, 269, 45, 13 ], [ 599, 269, 15, 13 ], [ 617, 269, 38, 13 ], [ 658, 269, 25, 13 ], [ 686, 269, 27, 13 ], [ 716, 269, 32, 13 ], [ 102, 282, 14, 13 ], [ 120, 282, 77, 13 ], [ 200, 282, 23, 13 ], [ 226, 282, 20, 13 ], [ 250, 282, 40, 13 ], [ 293, 282, 11, 13 ], [ 308, 282, 18, 13 ], [ 329, 282, 59, 13 ], [ 392, 282, 34, 13 ], [ 429, 282, 10, 13 ], [ 443, 282, 30, 13 ], [ 477, 282, 65, 13 ], [ 546, 282, 11, 13 ], [ 560, 282, 61, 13 ], [ 625, 282, 14, 13 ], [ 642, 282, 35, 13 ], [ 681, 282, 20, 13 ], [ 705, 282, 43, 13 ], [ 102, 296, 45, 13 ], [ 151, 296, 18, 13 ], [ 173, 296, 52, 13 ], [ 229, 296, 57, 13 ], [ 290, 296, 11, 13 ], [ 304, 296, 15, 13 ], [ 323, 296, 38, 13 ], [ 365, 296, 15, 13 ], [ 383, 296, 60, 13 ], [ 447, 296, 11, 13 ], [ 462, 296, 18, 13 ], [ 483, 296, 77, 13 ], [ 564, 296, 23, 13 ], [ 590, 296, 20, 13 ], [ 614, 296, 40, 13 ], [ 657, 296, 11, 13 ], [ 672, 296, 18, 13 ], [ 693, 296, 37, 13 ], [ 101, 323, 55, 13 ], [ 161, 323, 14, 13 ], [ 179, 323, 32, 13 ], [ 215, 323, 18, 13 ], [ 236, 323, 59, 13 ], [ 299, 323, 34, 13 ], [ 337, 323, 10, 13 ], [ 351, 323, 56, 13 ], [ 411, 323, 24, 13 ], [ 439, 323, 20, 13 ], [ 462, 323, 29, 13 ], [ 495, 323, 28, 13 ], [ 527, 323, 13, 13 ], [ 544, 323, 55, 13 ], [ 603, 323, 40, 13 ], [ 647, 323, 20, 13 ], [ 671, 323, 43, 13 ], [ 717, 323, 31, 13 ], [ 102, 336, 47, 13 ], [ 153, 336, 28, 13 ], [ 184, 336, 20, 13 ], [ 208, 336, 47, 13 ], [ 258, 336, 24, 13 ], [ 285, 336, 13, 13 ], [ 302, 336, 23, 13 ], [ 329, 336, 20, 13 ], [ 353, 336, 67, 13 ], [ 424, 336, 47, 13 ], [ 475, 336, 45, 13 ], [ 101, 363, 51, 13 ], [ 158, 363, 71, 13 ], [ 233, 363, 29, 13 ], [ 267, 363, 11, 13 ], [ 282, 363, 28, 13 ], [ 315, 363, 24, 13 ], [ 342, 363, 11, 13 ], [ 358, 363, 78, 13 ], [ 440, 363, 56, 13 ], [ 501, 363, 12, 13 ], [ 515, 363, 8, 13 ], [ 525, 363, 16, 13 ], [ 545, 363, 30, 13 ], [ 578, 363, 20, 13 ], [ 600, 363, 8, 13 ], [ 609, 363, 25, 13 ], [ 638, 363, 7, 13 ], [ 649, 363, 43, 13 ], [ 697, 363, 13, 13 ], [ 714, 363, 33, 13 ], [ 102, 376, 28, 13 ], [ 132, 376, 8, 13 ], [ 141, 376, 9, 13 ], [ 159, 376, 27, 13 ], [ 187, 376, 8, 13 ], [ 196, 376, 10, 13 ], [ 215, 376, 25, 13 ], [ 248, 376, 18, 13 ], [ 273, 376, 35, 13 ], [ 316, 376, 15, 13 ], [ 339, 376, 61, 13 ], [ 408, 376, 58, 13 ], [ 473, 376, 57, 13 ], [ 538, 376, 41, 13 ], [ 586, 376, 20, 13 ], [ 615, 376, 56, 13 ], [ 678, 376, 29, 13 ], [ 715, 376, 33, 13 ], [ 102, 390, 73, 13 ], [ 182, 390, 42, 13 ], [ 231, 390, 10, 13 ], [ 248, 390, 15, 13 ], [ 269, 390, 33, 13 ], [ 309, 390, 18, 13 ], [ 334, 390, 41, 13 ], [ 381, 390, 20, 13 ], [ 408, 390, 43, 13 ], [ 457, 390, 77, 13 ], [ 541, 390, 26, 13 ], [ 574, 390, 40, 13 ], [ 620, 390, 10, 13 ], [ 637, 390, 25, 13 ], [ 669, 390, 40, 13 ], [ 716, 390, 32, 13 ], [ 102, 404, 78, 13 ], [ 184, 404, 26, 13 ], [ 215, 404, 47, 13 ], [ 267, 404, 11, 13 ], [ 283, 404, 29, 13 ], [ 317, 404, 48, 13 ], [ 370, 404, 29, 13 ], [ 403, 404, 42, 13 ], [ 450, 404, 57, 13 ], [ 511, 404, 58, 13 ], [ 573, 404, 41, 13 ], [ 619, 404, 20, 13 ], [ 644, 404, 77, 13 ], [ 725, 404, 23, 13 ], [ 102, 418, 58, 13 ], [ 163, 418, 26, 13 ], [ 193, 418, 46, 13 ], [ 243, 418, 29, 13 ], [ 276, 418, 34, 13 ], [ 313, 418, 35, 13 ], [ 101, 444, 42, 13 ], [ 148, 444, 20, 13 ], [ 171, 444, 42, 13 ], [ 217, 444, 20, 13 ], [ 241, 444, 32, 13 ], [ 276, 444, 11, 13 ], [ 291, 444, 14, 13 ], [ 309, 444, 41, 13 ], [ 353, 444, 57, 13 ], [ 413, 444, 24, 13 ], [ 440, 444, 20, 13 ], [ 464, 444, 17, 13 ], [ 485, 444, 18, 13 ], [ 507, 444, 36, 13 ], [ 547, 444, 38, 13 ], [ 588, 444, 24, 13 ], [ 616, 444, 34, 13 ], [ 654, 444, 40, 13 ], [ 697, 444, 20, 13 ], [ 721, 444, 27, 13 ], [ 102, 458, 47, 13 ], [ 153, 458, 23, 13 ], [ 179, 458, 24, 13 ], [ 207, 458, 45, 13 ], [ 255, 458, 45, 13 ], [ 101, 485, 63, 13 ], [ 168, 485, 15, 13 ], [ 186, 485, 43, 13 ], [ 232, 485, 29, 13 ], [ 263, 485, 28, 13 ], [ 294, 485, 20, 13 ], [ 317, 485, 15, 13 ], [ 334, 485, 33, 13 ], [ 369, 485, 8, 13 ], [ 380, 485, 39, 13 ], [ 422, 485, 15, 13 ], [ 439, 485, 49, 13 ], [ 491, 485, 34, 13 ], [ 528, 485, 42, 13 ], [ 573, 485, 45, 13 ], [ 620, 485, 37, 13 ], [ 660, 485, 25, 13 ], [ 688, 485, 35, 13 ], [ 726, 485, 22, 13 ], [ 102, 498, 18, 13 ], [ 123, 498, 27, 13 ], [ 152, 498, 34, 13 ], [ 189, 498, 8, 13 ], [ 200, 498, 50, 13 ], [ 253, 498, 10, 13 ], [ 266, 498, 56, 13 ], [ 325, 498, 24, 13 ], [ 351, 498, 23, 13 ], [ 377, 498, 10, 13 ], [ 390, 498, 18, 13 ], [ 411, 498, 32, 13 ], [ 446, 498, 16, 13 ], [ 465, 498, 32, 13 ], [ 499, 498, 22, 13 ], [ 523, 498, 18, 13 ], [ 544, 498, 59, 13 ], [ 606, 498, 34, 13 ], [ 643, 498, 8, 13 ], [ 654, 498, 18, 13 ], [ 675, 498, 73, 13 ], [ 102, 512, 10, 13 ], [ 116, 512, 29, 13 ], [ 149, 512, 59, 13 ], [ 92, 547, 40, 10 ], [ 135, 547, 32, 10 ], [ 171, 547, 7, 10 ], [ 182, 547, 28, 10 ], [ 213, 547, 5, 10 ], [ 222, 547, 26, 10 ], [ 251, 547, 23, 10 ], [ 277, 547, 51, 10 ], [ 332, 547, 48, 10 ], [ 383, 547, 9, 10 ], [ 395, 547, 14, 10 ], [ 412, 547, 46, 10 ], [ 461, 547, 28, 10 ], [ 492, 547, 8, 10 ], [ 504, 547, 44, 10 ], [ 551, 547, 19, 10 ], [ 573, 547, 64, 10 ], [ 640, 547, 19, 10 ], [ 662, 547, 13, 10 ], [ 678, 547, 16, 10 ], [ 698, 547, 27, 10 ], [ 728, 547, 20, 10 ], [ 92, 558, 18, 10 ], [ 113, 558, 18, 10 ], [ 134, 558, 32, 10 ], [ 168, 558, 139, 10 ], [ 92, 575, 31, 10 ], [ 126, 575, 25, 10 ], [ 154, 575, 9, 10 ], [ 165, 575, 29, 10 ], [ 197, 575, 34, 10 ], [ 234, 575, 9, 10 ], [ 245, 575, 14, 10 ], [ 262, 575, 41, 10 ], [ 305, 575, 9, 10 ], [ 317, 575, 55, 10 ], [ 375, 575, 28, 10 ], [ 405, 575, 25, 10 ], [ 433, 575, 9, 10 ], [ 445, 575, 34, 10 ], [ 92, 593, 42, 10 ], [ 137, 593, 26, 10 ], [ 166, 593, 12, 10 ], [ 181, 593, 22, 10 ], [ 206, 593, 44, 10 ], [ 253, 593, 16, 10 ], [ 272, 593, 12, 10 ], [ 287, 593, 22, 10 ], [ 312, 593, 47, 10 ], [ 361, 593, 30, 10 ], [ 394, 593, 12, 10 ], [ 409, 593, 20, 10 ], [ 92, 610, 50, 10 ], [ 156, 610, 20, 10 ], [ 180, 610, 35, 10 ], [ 217, 610, 30, 10 ], [ 250, 610, 17, 10 ], [ 270, 610, 6, 10 ], [ 280, 610, 10, 10 ], [ 293, 610, 50, 10 ], [ 347, 610, 25, 10 ], [ 375, 610, 45, 10 ], [ 423, 610, 25, 10 ], [ 451, 610, 14, 10 ], [ 468, 610, 24, 10 ], [ 494, 610, 9, 10 ], [ 506, 610, 14, 10 ], [ 523, 610, 34, 10 ], [ 560, 610, 42, 10 ], [ 605, 610, 45, 10 ], [ 653, 610, 32, 10 ], [ 689, 610, 25, 10 ], [ 717, 610, 31, 10 ], [ 92, 621, 49, 10 ], [ 144, 621, 17, 10 ], [ 163, 621, 50, 10 ], [ 216, 621, 16, 10 ], [ 235, 621, 54, 10 ], [ 291, 621, 8, 10 ], [ 302, 621, 15, 10 ], [ 320, 621, 37, 10 ], [ 359, 621, 37, 10 ], [ 399, 621, 14, 10 ], [ 416, 621, 31, 10 ], [ 450, 621, 27, 10 ], [ 480, 621, 16, 10 ], [ 498, 621, 27, 10 ], [ 529, 621, 13, 10 ], [ 545, 621, 36, 10 ], [ 92, 638, 42, 10 ], [ 137, 638, 12, 10 ], [ 152, 638, 30, 10 ], [ 184, 638, 33, 10 ], [ 220, 638, 33, 10 ], [ 255, 638, 31, 10 ], [ 289, 638, 12, 10 ], [ 304, 638, 15, 10 ], [ 322, 638, 25, 10 ], [ 92, 656, 52, 10 ], [ 147, 656, 44, 10 ], [ 193, 656, 16, 10 ], [ 212, 656, 31, 10 ], [ 246, 656, 20, 10 ], [ 268, 656, 35, 10 ], [ 307, 656, 17, 10 ], [ 326, 656, 11, 10 ], [ 340, 656, 45, 10 ], [ 388, 656, 35, 10 ], [ 426, 656, 21, 10 ], [ 92, 673, 5, 10 ], [ 99, 673, 27, 10 ], [ 129, 673, 94, 10 ], [ 80, 716, 84, 14 ], [ 93, 741, 26, 13 ], [ 128, 741, 34, 13 ], [ 171, 741, 27, 13 ], [ 207, 741, 73, 13 ], [ 289, 741, 18, 13 ], [ 315, 741, 10, 13 ], [ 334, 741, 12, 13 ], [ 355, 741, 29, 13 ], [ 393, 741, 19, 13 ], [ 80, 755, 52, 13 ], [ 139, 755, 62, 13 ], [ 207, 755, 10, 13 ], [ 224, 755, 50, 13 ], [ 281, 755, 50, 13 ], [ 338, 755, 10, 13 ], [ 355, 755, 16, 13 ], [ 377, 755, 35, 13 ], [ 80, 770, 30, 13 ], [ 113, 770, 18, 13 ], [ 133, 770, 48, 13 ], [ 184, 770, 34, 13 ], [ 220, 770, 18, 13 ], [ 241, 770, 21, 13 ], [ 264, 770, 13, 13 ], [ 280, 770, 37, 13 ], [ 319, 770, 31, 13 ], [ 352, 770, 30, 13 ], [ 384, 770, 28, 13 ], [ 80, 785, 10, 13 ], [ 97, 785, 13, 13 ], [ 116, 785, 48, 13 ], [ 171, 785, 29, 13 ], [ 206, 785, 42, 13 ], [ 254, 785, 47, 13 ], [ 308, 785, 38, 13 ], [ 352, 785, 7, 13 ], [ 365, 785, 16, 13 ], [ 388, 785, 25, 13 ], [ 80, 800, 45, 13 ], [ 133, 800, 25, 13 ], [ 166, 800, 30, 13 ], [ 204, 800, 10, 13 ], [ 222, 800, 16, 13 ], [ 246, 800, 35, 13 ], [ 290, 800, 30, 13 ], [ 328, 800, 18, 13 ], [ 354, 800, 58, 13 ], [ 80, 814, 68, 13 ], [ 155, 814, 51, 13 ], [ 211, 814, 22, 13 ], [ 240, 814, 24, 13 ], [ 270, 814, 41, 13 ], [ 316, 814, 16, 13 ], [ 339, 814, 18, 13 ], [ 363, 814, 10, 13 ], [ 379, 814, 34, 13 ], [ 80, 829, 69, 13 ], [ 153, 829, 18, 13 ], [ 93, 844, 24, 13 ], [ 120, 844, 16, 13 ], [ 140, 844, 51, 13 ], [ 195, 844, 51, 13 ], [ 249, 844, 22, 13 ], [ 274, 844, 26, 13 ], [ 304, 844, 68, 13 ], [ 376, 844, 23, 13 ], [ 402, 844, 10, 13 ], [ 80, 859, 29, 13 ], [ 114, 859, 50, 13 ], [ 168, 859, 32, 13 ], [ 204, 859, 36, 13 ], [ 245, 859, 46, 13 ], [ 295, 859, 66, 13 ], [ 365, 859, 47, 13 ], [ 80, 873, 62, 13 ], [ 149, 873, 48, 13 ], [ 203, 873, 30, 13 ], [ 239, 873, 19, 13 ], [ 265, 873, 20, 13 ], [ 291, 873, 59, 13 ], [ 357, 873, 56, 13 ], [ 80, 888, 31, 13 ], [ 114, 888, 68, 13 ], [ 185, 888, 16, 13 ], [ 205, 888, 50, 13 ], [ 258, 888, 10, 13 ], [ 271, 888, 21, 13 ], [ 295, 888, 10, 13 ], [ 308, 888, 16, 13 ], [ 327, 888, 52, 13 ], [ 383, 888, 30, 13 ], [ 80, 903, 23, 13 ], [ 106, 903, 20, 13 ], [ 129, 903, 30, 13 ], [ 161, 903, 10, 13 ], [ 175, 903, 16, 13 ], [ 194, 903, 44, 13 ], [ 241, 903, 25, 13 ], [ 270, 903, 10, 13 ], [ 283, 903, 30, 13 ], [ 316, 903, 16, 13 ], [ 336, 903, 44, 13 ], [ 383, 903, 30, 13 ], [ 80, 917, 34, 13 ], [ 119, 917, 62, 13 ], [ 187, 917, 16, 13 ], [ 208, 917, 26, 13 ], [ 240, 917, 68, 13 ], [ 313, 917, 23, 13 ], [ 341, 917, 10, 13 ], [ 357, 917, 34, 13 ], [ 397, 917, 16, 13 ], [ 80, 932, 56, 13 ], [ 140, 932, 10, 13 ], [ 154, 932, 16, 13 ], [ 174, 932, 26, 13 ], [ 203, 932, 30, 13 ], [ 237, 932, 19, 13 ], [ 260, 932, 28, 13 ], [ 292, 932, 34, 13 ], [ 329, 932, 42, 13 ], [ 375, 932, 34, 13 ], [ 93, 947, 37, 13 ], [ 134, 947, 39, 13 ], [ 179, 947, 17, 13 ], [ 201, 947, 25, 13 ], [ 231, 947, 48, 13 ], [ 284, 947, 13, 13 ], [ 302, 947, 83, 13 ], [ 391, 947, 22, 13 ], [ 80, 962, 64, 13 ], [ 154, 962, 41, 13 ], [ 203, 962, 23, 13 ], [ 235, 962, 10, 13 ], [ 255, 962, 32, 13 ], [ 296, 962, 19, 13 ], [ 324, 962, 89, 13 ], [ 80, 977, 71, 13 ], [ 157, 977, 24, 13 ], [ 187, 977, 19, 13 ], [ 212, 977, 51, 13 ], [ 268, 977, 34, 13 ], [ 308, 977, 23, 13 ], [ 336, 977, 10, 13 ], [ 353, 977, 60, 13 ], [ 80, 991, 30, 13 ], [ 116, 991, 19, 13 ], [ 142, 991, 87, 13 ], [ 235, 991, 71, 13 ], [ 312, 991, 9, 13 ], [ 327, 991, 85, 13 ], [ 80, 1006, 27, 13 ], [ 113, 1006, 38, 13 ], [ 157, 1006, 20, 13 ], [ 184, 1006, 55, 13 ], [ 245, 1006, 22, 13 ], [ 273, 1006, 41, 13 ], [ 321, 1006, 24, 13 ], [ 351, 1006, 19, 13 ], [ 376, 1006, 6, 13 ], [ 389, 1006, 24, 13 ], [ 437, 715, 48, 13 ], [ 493, 715, 10, 13 ], [ 510, 715, 26, 13 ], [ 543, 715, 34, 13 ], [ 584, 715, 51, 13 ], [ 642, 715, 10, 13 ], [ 660, 715, 6, 13 ], [ 673, 715, 24, 13 ], [ 704, 715, 48, 13 ], [ 760, 715, 10, 13 ], [ 437, 730, 55, 13 ], [ 497, 730, 22, 13 ], [ 525, 730, 48, 13 ], [ 579, 730, 24, 13 ], [ 609, 730, 25, 13 ], [ 639, 730, 87, 13 ], [ 732, 730, 38, 13 ], [ 437, 744, 20, 13 ], [ 460, 744, 55, 13 ], [ 517, 744, 22, 13 ], [ 542, 744, 24, 13 ], [ 568, 744, 19, 13 ], [ 590, 744, 6, 13 ], [ 599, 744, 24, 13 ], [ 625, 744, 48, 13 ], [ 676, 744, 10, 13 ], [ 689, 744, 16, 13 ], [ 707, 744, 26, 13 ], [ 736, 744, 34, 13 ], [ 437, 759, 51, 13 ], [ 490, 759, 10, 13 ], [ 503, 759, 45, 13 ], [ 550, 759, 40, 13 ], [ 593, 759, 25, 13 ], [ 620, 759, 36, 13 ], [ 659, 759, 71, 13 ], [ 733, 759, 24, 13 ], [ 760, 759, 10, 13 ], [ 437, 773, 42, 13 ], [ 484, 773, 22, 13 ], [ 512, 773, 24, 13 ], [ 541, 773, 24, 13 ], [ 571, 773, 51, 13 ], [ 627, 773, 22, 13 ], [ 655, 773, 45, 13 ], [ 705, 773, 40, 13 ], [ 750, 773, 19, 13 ], [ 437, 788, 38, 13 ], [ 479, 788, 6, 13 ], [ 490, 788, 48, 13 ], [ 543, 788, 10, 13 ], [ 557, 788, 16, 13 ], [ 578, 788, 79, 13 ], [ 661, 788, 25, 13 ], [ 691, 788, 55, 13 ], [ 750, 788, 19, 13 ], [ 437, 802, 56, 13 ], [ 498, 802, 34, 13 ], [ 537, 802, 25, 13 ], [ 567, 802, 68, 13 ], [ 639, 802, 6, 13 ], [ 650, 802, 48, 13 ], [ 704, 802, 10, 13 ], [ 719, 802, 16, 13 ], [ 740, 802, 30, 13 ], [ 437, 817, 34, 13 ], [ 474, 817, 10, 13 ], [ 487, 817, 44, 13 ], [ 533, 817, 22, 13 ], [ 558, 817, 24, 13 ], [ 584, 817, 19, 13 ], [ 606, 817, 30, 13 ], [ 638, 817, 28, 13 ], [ 668, 817, 51, 13 ], [ 722, 817, 10, 13 ], [ 735, 817, 35, 13 ], [ 437, 831, 19, 13 ], [ 462, 831, 18, 13 ], [ 486, 831, 44, 13 ], [ 535, 831, 45, 13 ], [ 585, 831, 40, 13 ], [ 631, 831, 19, 13 ], [ 656, 831, 24, 13 ], [ 686, 831, 30, 13 ], [ 722, 831, 10, 13 ], [ 738, 831, 32, 13 ], [ 437, 846, 40, 13 ], [ 486, 846, 60, 13 ], [ 555, 846, 28, 13 ], [ 592, 846, 32, 13 ], [ 632, 846, 71, 13 ], [ 712, 846, 24, 13 ], [ 745, 846, 24, 13 ], [ 437, 860, 51, 13 ], [ 492, 860, 25, 13 ], [ 450, 875, 26, 13 ], [ 483, 875, 43, 13 ], [ 534, 875, 51, 13 ], [ 591, 875, 41, 13 ], [ 639, 875, 10, 13 ], [ 657, 875, 16, 13 ], [ 680, 875, 34, 13 ], [ 721, 875, 17, 13 ], [ 745, 875, 25, 13 ], [ 437, 890, 35, 13 ], [ 475, 890, 10, 13 ], [ 488, 890, 16, 13 ], [ 507, 890, 37, 13 ], [ 547, 890, 88, 13 ], [ 638, 890, 41, 13 ], [ 681, 890, 27, 13 ], [ 710, 890, 32, 13 ], [ 745, 890, 25, 13 ], [ 437, 904, 24, 13 ], [ 465, 904, 8, 13 ], [ 477, 904, 29, 13 ], [ 511, 904, 15, 13 ], [ 530, 904, 48, 13 ], [ 582, 904, 34, 13 ], [ 620, 904, 19, 13 ], [ 643, 904, 10, 13 ], [ 657, 904, 16, 13 ], [ 678, 904, 35, 13 ], [ 718, 904, 31, 13 ], [ 753, 904, 17, 13 ], [ 437, 919, 23, 13 ], [ 465, 919, 17, 13 ], [ 486, 919, 31, 13 ], [ 521, 919, 16, 13 ], [ 542, 919, 90, 13 ], [ 637, 919, 47, 13 ], [ 689, 919, 21, 13 ], [ 715, 919, 55, 13 ], [ 437, 933, 23, 13 ], [ 466, 933, 25, 13 ], [ 497, 933, 41, 13 ], [ 544, 933, 60, 13 ], [ 610, 933, 8, 13 ], [ 624, 933, 44, 13 ], [ 674, 933, 25, 13 ], [ 705, 933, 24, 13 ], [ 735, 933, 35, 13 ], [ 437, 948, 31, 13 ], [ 472, 948, 16, 13 ], [ 492, 948, 70, 13 ], [ 566, 948, 10, 13 ], [ 580, 948, 16, 13 ], [ 600, 948, 45, 13 ], [ 649, 948, 10, 13 ], [ 663, 948, 38, 13 ], [ 705, 948, 17, 13 ], [ 725, 948, 16, 13 ], [ 745, 948, 24, 13 ], [ 437, 962, 28, 13 ], [ 469, 962, 8, 13 ], [ 480, 962, 17, 13 ], [ 501, 962, 49, 13 ], [ 554, 962, 13, 13 ], [ 572, 962, 32, 13 ], [ 607, 962, 70, 13 ], [ 681, 962, 25, 13 ], [ 709, 962, 12, 13 ], [ 725, 962, 45, 13 ], [ 437, 977, 32, 13 ], [ 473, 977, 71, 13 ], [ 548, 977, 24, 13 ], [ 577, 977, 24, 13 ], [ 605, 977, 29, 13 ], [ 637, 977, 56, 13 ], [ 697, 977, 23, 13 ], [ 725, 977, 10, 13 ], [ 739, 977, 31, 13 ], [ 437, 992, 63, 13 ], [ 504, 992, 19, 13 ], [ 527, 992, 51, 13 ], [ 582, 992, 45, 13 ], [ 630, 992, 41, 13 ], [ 675, 992, 35, 13 ], [ 714, 992, 56, 13 ], [ 437, 1006, 56, 13 ], [ 498, 1006, 19, 13 ], [ 523, 1006, 55, 13 ], [ 585, 1006, 47, 13 ], [ 637, 1006, 20, 13 ], [ 662, 1006, 22, 13 ], [ 690, 1006, 47, 13 ], [ 742, 1006, 27, 13 ], [ 80, 1047, 25, 12 ], [ 108, 1047, 21, 12 ], [ 134, 1047, 3, 12 ], [ 142, 1047, 83, 12 ], [ 422, 1047, 6, 12 ], [ 554, 1047, 34, 12 ], [ 591, 1047, 23, 12 ], [ 619, 1047, 3, 12 ], [ 627, 1047, 36, 12 ], [ 668, 1047, 6, 12 ], [ 680, 1047, 3, 12 ], [ 688, 1047, 24, 12 ], [ 716, 1047, 6, 12 ], [ 727, 1047, 3, 12 ], [ 736, 1047, 34, 12 ] ]
[ 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 5, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 18, 18, 18, 18, 18, 18, 18, 18, 18, 18, 18, 18, 18, 18, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 10, 10, 10, 10, 10, 10, 10, 10, 10, 14, 14, 14, 14, 14, 14, 14, 14, 14, 14, 14, 13, 13, 13, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 0, 0, 0, 0, 4, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
2441491
[ "Eur", "Radiol", "(2008)", "18:", "1431–1441", "DOI", "10.1007/s00330-008-0906-0", "I", "N", "T", "E", "RV", "E", "N", "T", "I", "O", "N", "A", "L", "A.", "C.", "Schmitz", "D.", "Gianfelice", "B.", "L.", "Daniel", "W.", "P.", "Th.", "M.", "Mali", "M.", "A.", "A.", "J.", "van", "den", "Bosch", "Image-guided", "focused", "ultrasound", "ablation", "of", "breast", "cancer:", "current", "status,", "challenges,", "and", "future", "directions", "Received:", "26", "September", "2007", "Revised:", "4", "December", "2007", "Accepted:", "15", "January", "2008", "Published", "online:", "20", "March", "2008", "#", "The", "Author(s)", "2008", "A.", "C.", "Schmitz", ".", "W.", "P.", "T.", "M.", "Mali", ".", "M.", "A.", "A.", "J.", "van", "den", "Bosch", "Department", "of", "Radiology,", "University", "Medical", "Center", "Utrecht,", "Utrecht,", "The", "Netherlands", "D.", "Gianfelice", "Department", "of", "Radiology,", "University", "Health", "Network", "C/O", "Toronto", "General", "Hospital,", "Toronto,", "Canada", "B.", "L.", "Daniel", ".", "M.", "A.", "A.", "J.", "van", "den", "Bosch", "Department", "of", "Radiology,", "Stanford", "University,", "Stanford,", "CA,", "USA", "M.", "A.", "A.", "J.", "van", "den", "Bosch", "(*)", "Department", "of", "Radiology,", "Lucas", "MR", "Imaging", "Center,", "1201", "Welch", "Road,", "Stanford,", "CA,", "94305-5488,", "USA", "e-mail:", "mbosch@stanford.edu", "Tel.:", "+1-650-4987550", "Fax:", "+1-650-7367925", "Abstract", "Image-guided", "focussed", "ul-", "trasound", "(FUS)", "ablation", "is", "a", "non-", "invasive", "procedure", "that", "has", "been", "used", "for", "treatment", "of", "benign", "or", "malignant", "breast", "tumours.", "Image-guidance", "dur-", "ing", "ablation", "is", "achieved", "either", "by", "using", "real-time", "ultrasound", "(US)", "or", "magnetic", "resonance", "imaging", "(MRI).", "The", "past", "decade", "phase", "I", "studies", "have", "proven", "MRI-guided", "and", "US-guided", "FUS", "ablation", "of", "breast", "cancer", "to", "be", "technically", "feasible", "and", "safe.", "We", "provide", "an", "overview", "of", "studies", "asses-", "sing", "the", "efficacy", "of", "FUS", "for", "breast", "tumour", "ablation", "as", "measured", "by", "per-", "centages", "of", "complete", "tumour", "necrosis.", "Successful", "ablation", "ranged", "from", "20%", "to", "100%,", "depending", "on", "FUS", "system", "type,", "imaging", "technique,", "ablation", "protocol,", "and", "patient", "selection.", "Spe-", "cific", "issues", "related", "to", "FUS", "ablation", "of", "breast", "cancer,", "such", "as", "increased", "treat-", "ment", "time", "for", "larger", "tumours,", "size", "of", "ablation", "margins,", "methods", "used", "for", "margin", "assessment", "and", "residual", "tu-", "mour", "detection", "after", "FUS", "ablation,", "and", "impact", "of", "FUS", "ablation", "on", "senti-", "nel", "node", "procedure", "are", "presented.", "Finally,", "potential", "future", "applications", "of", "FUS", "for", "breast", "cancer", "treatment", "such", "as", "FUS-induced", "anti-tumour", "im-", "mune", "response,", "FUS-mediated", "gene", "transfer,", "and", "enhanced", "drug", "delivery", "are", "discussed.", "Currently,", "breast-", "conserving", "surgery", "remains", "the", "gold", "standard", "for", "breast", "cancer", "treatment.", "Keywords", "Image-guided", "therapy", ".", "Focussed", "ultrasound", ".", "Breast", "cancer", ".", "Tumour", "ablation", ".", "Magnetic", "resonance", "imaging", "Evolution", "of", "breast", "cancer", "treatment", "Breast", "cancer", "is", "the", "most", "frequently", "occurring", "malignant", "disease", "and", "leading", "cause", "of", "cancer-related", "death", "in", "women", "in", "the", "Western", "world.", "The", "number", "of", "new", "cases", "and", "deaths", "from", "breast", "cancer", "for", "women", "in", "the", "US", "in", "2007", "was", "estimated", "to", "be", "178,480", "and", "40,460,", "respectively", "[1].", "Radical", "mastectomy,", "i.e.,", "breast", "amputation", "with", "or", "without", "excision", "of", "the", "pectoral", "muscle,", "has", "long", "been", "accepted", "as", "an", "appropriate", "therapy", "for", "breast", "cancer.", "This", "treatment", "was", "based", "on", "the", "theory", "of", "Dr.", "William", "Halsted", "that", "aggressive", "local", "therapy", "for", "control", "of", "breast", "cancer,", "chest", "wall", "and", "regional", "lymph", "nodes", "would", "have", "a", "substantial", "benefit", "on", "survival", "[2].", "In", "the", "1970s,", "an", "increased", "understanding", "of", "the", "natural", "history", "of", "breast", "cancer", "resulted", "in", "the", "use", "of", "breast-conserving", "surgery,", "i.e.,", "local", "excision", "as", "proposed", "by", "Dr.", "Bernard", "Fisher,", "for", "treatment", "of", "breast", "cancer", "[3,", "4].", "After", "results", "of", "randomized", "studies", "demonstrated", "similar", "survival", "rates", "for", "both", "treatment", "groups,", "breast-conserving", "surgery", "combined", "with", "radiotherapy", "became", "standard", "treatment", "for", "patients", "with", "localized", "breast", "cancer", "[3].", "Parallel", "to", "this", "development,", "nationwide", "breast", "cancer", "screening", "programmes", "were", "implemented", "in", "many", "Western", "countries", "in", "the", "1990s,", "resulting", "in", "an", "increased", "proportion" ]
[ [ 66, 37, 18, 13 ], [ 88, 37, 33, 13 ], [ 125, 37, 33, 13 ], [ 163, 37, 16, 13 ], [ 183, 37, 56, 13 ], [ 66, 50, 22, 13 ], [ 93, 50, 142, 13 ], [ 315, 48, 5, 15 ], [ 320, 48, 11, 15 ], [ 332, 48, 9, 15 ], [ 343, 48, 9, 15 ], [ 353, 48, 21, 15 ], [ 375, 48, 9, 15 ], [ 385, 48, 11, 15 ], [ 396, 48, 9, 15 ], [ 407, 48, 5, 15 ], [ 413, 48, 11, 15 ], [ 425, 48, 11, 15 ], [ 436, 48, 11, 15 ], [ 448, 48, 9, 15 ], [ 66, 135, 15, 15 ], [ 85, 135, 15, 15 ], [ 104, 135, 50, 15 ], [ 66, 151, 15, 15 ], [ 85, 151, 62, 15 ], [ 66, 167, 14, 15 ], [ 85, 167, 14, 15 ], [ 103, 167, 41, 15 ], [ 66, 182, 17, 15 ], [ 88, 182, 12, 15 ], [ 104, 182, 22, 15 ], [ 130, 182, 18, 15 ], [ 153, 182, 29, 15 ], [ 66, 198, 18, 15 ], [ 89, 198, 15, 15 ], [ 107, 198, 15, 15 ], [ 126, 198, 11, 15 ], [ 142, 198, 23, 15 ], [ 170, 198, 23, 15 ], [ 197, 198, 37, 15 ], [ 303, 135, 130, 25 ], [ 441, 135, 77, 25 ], [ 525, 135, 104, 25 ], [ 637, 135, 79, 25 ], [ 303, 162, 20, 25 ], [ 330, 162, 62, 25 ], [ 400, 162, 72, 25 ], [ 480, 162, 71, 25 ], [ 559, 162, 67, 25 ], [ 634, 162, 109, 25 ], [ 303, 190, 35, 25 ], [ 346, 190, 60, 25 ], [ 413, 190, 97, 25 ], [ 66, 364, 50, 13 ], [ 120, 364, 13, 13 ], [ 136, 364, 53, 13 ], [ 193, 364, 25, 13 ], [ 66, 376, 44, 13 ], [ 114, 376, 7, 13 ], [ 124, 376, 51, 13 ], [ 179, 376, 25, 13 ], [ 66, 389, 50, 13 ], [ 120, 389, 13, 13 ], [ 137, 389, 39, 13 ], [ 180, 389, 25, 13 ], [ 66, 402, 49, 13 ], [ 119, 402, 35, 13 ], [ 158, 402, 13, 13 ], [ 174, 402, 33, 13 ], [ 211, 402, 25, 13 ], [ 66, 416, 13, 13 ], [ 83, 415, 20, 13 ], [ 106, 415, 48, 13 ], [ 158, 415, 25, 13 ], [ 66, 528, 13, 13 ], [ 83, 528, 12, 13 ], [ 98, 528, 41, 13 ], [ 143, 525, 4, 13 ], [ 150, 528, 14, 13 ], [ 168, 528, 9, 13 ], [ 181, 528, 10, 13 ], [ 195, 528, 15, 13 ], [ 213, 528, 24, 13 ], [ 240, 525, 4, 13 ], [ 66, 541, 15, 13 ], [ 85, 541, 13, 13 ], [ 101, 541, 13, 13 ], [ 117, 541, 8, 13 ], [ 129, 541, 18, 13 ], [ 151, 541, 18, 13 ], [ 173, 541, 31, 13 ], [ 66, 554, 59, 13 ], [ 129, 554, 11, 13 ], [ 143, 554, 54, 13 ], [ 66, 567, 52, 13 ], [ 123, 567, 41, 13 ], [ 167, 567, 33, 13 ], [ 204, 567, 40, 13 ], [ 66, 579, 40, 13 ], [ 110, 579, 20, 13 ], [ 134, 579, 60, 13 ], [ 66, 605, 13, 13 ], [ 83, 605, 51, 13 ], [ 66, 618, 59, 13 ], [ 129, 618, 11, 13 ], [ 143, 618, 54, 13 ], [ 201, 618, 53, 13 ], [ 66, 631, 33, 13 ], [ 103, 631, 44, 13 ], [ 151, 631, 21, 13 ], [ 176, 631, 39, 13 ], [ 219, 631, 39, 13 ], [ 66, 643, 45, 13 ], [ 66, 656, 43, 13 ], [ 113, 656, 38, 13 ], [ 66, 682, 12, 13 ], [ 82, 682, 11, 13 ], [ 97, 682, 33, 13 ], [ 134, 679, 4, 13 ], [ 66, 695, 15, 13 ], [ 85, 695, 13, 13 ], [ 101, 695, 13, 13 ], [ 117, 695, 8, 13 ], [ 129, 695, 18, 13 ], [ 151, 695, 18, 13 ], [ 173, 695, 31, 13 ], [ 66, 707, 59, 13 ], [ 129, 707, 11, 13 ], [ 143, 707, 54, 13 ], [ 66, 720, 43, 13 ], [ 113, 720, 55, 13 ], [ 66, 733, 46, 13 ], [ 116, 733, 21, 13 ], [ 141, 733, 25, 13 ], [ 303, 364, 15, 13 ], [ 321, 364, 13, 13 ], [ 337, 364, 13, 13 ], [ 353, 364, 8, 13 ], [ 365, 364, 18, 13 ], [ 387, 364, 18, 13 ], [ 410, 364, 31, 13 ], [ 445, 364, 23, 13 ], [ 303, 376, 59, 13 ], [ 365, 376, 11, 13 ], [ 379, 376, 54, 13 ], [ 303, 389, 30, 13 ], [ 336, 389, 20, 13 ], [ 360, 389, 42, 13 ], [ 405, 389, 36, 13 ], [ 303, 402, 25, 13 ], [ 332, 402, 32, 13 ], [ 367, 402, 30, 13 ], [ 303, 415, 46, 13 ], [ 352, 415, 21, 13 ], [ 377, 415, 64, 13 ], [ 444, 415, 25, 13 ], [ 303, 428, 35, 13 ], [ 341, 428, 112, 13 ], [ 303, 440, 22, 13 ], [ 329, 440, 84, 13 ], [ 303, 453, 22, 13 ], [ 329, 453, 84, 13 ], [ 303, 480, 54, 15 ], [ 364, 480, 80, 15 ], [ 448, 480, 51, 15 ], [ 503, 480, 16, 15 ], [ 303, 495, 50, 15 ], [ 357, 495, 36, 15 ], [ 397, 495, 47, 15 ], [ 448, 495, 10, 15 ], [ 461, 495, 7, 15 ], [ 472, 495, 27, 15 ], [ 303, 511, 48, 15 ], [ 355, 511, 58, 15 ], [ 416, 511, 22, 15 ], [ 442, 511, 20, 15 ], [ 465, 511, 28, 15 ], [ 497, 511, 27, 15 ], [ 303, 527, 17, 15 ], [ 324, 527, 54, 15 ], [ 382, 527, 12, 15 ], [ 398, 527, 40, 15 ], [ 442, 527, 12, 15 ], [ 458, 527, 58, 15 ], [ 303, 543, 35, 15 ], [ 341, 543, 51, 15 ], [ 396, 543, 93, 15 ], [ 493, 543, 24, 15 ], [ 303, 558, 19, 15 ], [ 325, 558, 47, 15 ], [ 376, 558, 10, 15 ], [ 390, 558, 52, 15 ], [ 446, 558, 33, 15 ], [ 482, 558, 15, 15 ], [ 303, 574, 32, 15 ], [ 338, 574, 52, 15 ], [ 394, 574, 61, 15 ], [ 459, 574, 28, 15 ], [ 492, 574, 12, 15 ], [ 303, 590, 53, 15 ], [ 360, 590, 58, 15 ], [ 422, 590, 48, 15 ], [ 473, 590, 41, 15 ], [ 303, 606, 23, 15 ], [ 329, 606, 24, 15 ], [ 357, 606, 41, 15 ], [ 401, 606, 33, 15 ], [ 438, 606, 5, 15 ], [ 447, 606, 40, 15 ], [ 492, 606, 28, 15 ], [ 303, 621, 40, 15 ], [ 347, 621, 72, 15 ], [ 423, 621, 21, 15 ], [ 448, 621, 63, 15 ], [ 303, 637, 27, 15 ], [ 334, 637, 47, 15 ], [ 384, 637, 12, 15 ], [ 400, 637, 35, 15 ], [ 439, 637, 38, 15 ], [ 481, 637, 12, 15 ], [ 496, 637, 14, 15 ], [ 303, 653, 63, 15 ], [ 370, 653, 45, 15 ], [ 419, 653, 21, 15 ], [ 444, 653, 27, 15 ], [ 475, 653, 19, 15 ], [ 303, 669, 45, 15 ], [ 351, 669, 14, 15 ], [ 369, 669, 54, 15 ], [ 427, 669, 12, 15 ], [ 443, 669, 40, 15 ], [ 488, 669, 35, 15 ], [ 303, 684, 25, 15 ], [ 331, 684, 18, 15 ], [ 353, 684, 46, 15 ], [ 403, 684, 12, 15 ], [ 419, 684, 27, 15 ], [ 450, 684, 17, 15 ], [ 471, 684, 35, 15 ], [ 303, 700, 42, 15 ], [ 349, 700, 47, 15 ], [ 399, 700, 12, 15 ], [ 416, 700, 55, 15 ], [ 475, 700, 15, 15 ], [ 494, 700, 23, 15 ], [ 303, 716, 50, 15 ], [ 356, 716, 12, 15 ], [ 371, 716, 53, 15 ], [ 427, 716, 42, 15 ], [ 472, 716, 51, 15 ], [ 303, 732, 62, 15 ], [ 369, 732, 47, 15 ], [ 419, 732, 40, 15 ], [ 463, 732, 28, 15 ], [ 495, 732, 27, 15 ], [ 539, 355, 12, 15 ], [ 555, 355, 38, 15 ], [ 596, 355, 61, 15 ], [ 661, 355, 15, 15 ], [ 680, 355, 27, 15 ], [ 710, 355, 41, 15 ], [ 539, 371, 29, 15 ], [ 572, 371, 48, 15 ], [ 623, 371, 60, 15 ], [ 687, 371, 47, 15 ], [ 539, 387, 52, 15 ], [ 595, 387, 21, 15 ], [ 620, 387, 40, 15 ], [ 664, 387, 55, 15 ], [ 723, 387, 27, 15 ], [ 539, 402, 26, 15 ], [ 569, 402, 35, 15 ], [ 607, 402, 39, 15 ], [ 650, 402, 12, 15 ], [ 666, 402, 27, 15 ], [ 697, 402, 47, 15 ], [ 747, 402, 12, 15 ], [ 539, 418, 35, 15 ], [ 577, 418, 41, 15 ], [ 622, 418, 27, 15 ], [ 653, 418, 12, 15 ], [ 670, 418, 55, 15 ], [ 728, 418, 30, 15 ], [ 539, 434, 29, 15 ], [ 572, 434, 26, 15 ], [ 602, 434, 17, 15 ], [ 623, 434, 34, 15 ], [ 660, 434, 51, 15 ], [ 715, 434, 23, 15 ], [ 742, 434, 12, 15 ], [ 539, 450, 47, 15 ], [ 590, 450, 50, 15 ], [ 644, 450, 49, 15 ], [ 697, 450, 27, 15 ], [ 728, 450, 17, 15 ], [ 539, 465, 41, 15 ], [ 584, 465, 64, 15 ], [ 652, 465, 21, 15 ], [ 677, 465, 46, 15 ], [ 727, 465, 16, 15 ], [ 539, 481, 31, 15 ], [ 574, 481, 53, 15 ], [ 631, 481, 27, 15 ], [ 661, 481, 27, 15 ], [ 692, 481, 50, 15 ], [ 539, 497, 21, 15 ], [ 564, 497, 40, 15 ], [ 608, 497, 12, 15 ], [ 624, 497, 27, 15 ], [ 655, 497, 47, 15 ], [ 705, 497, 15, 15 ], [ 724, 497, 32, 15 ], [ 539, 513, 18, 15 ], [ 561, 513, 29, 15 ], [ 593, 513, 58, 15 ], [ 655, 513, 18, 15 ], [ 677, 513, 59, 15 ], [ 539, 528, 44, 15 ], [ 587, 528, 51, 15 ], [ 641, 528, 35, 15 ], [ 680, 528, 70, 15 ], [ 539, 544, 12, 15 ], [ 555, 544, 27, 15 ], [ 586, 544, 17, 15 ], [ 607, 544, 35, 15 ], [ 646, 544, 38, 15 ], [ 687, 544, 54, 15 ], [ 539, 560, 27, 15 ], [ 570, 560, 12, 15 ], [ 586, 560, 77, 15 ], [ 667, 560, 68, 15 ], [ 739, 560, 20, 15 ], [ 539, 576, 33, 15 ], [ 575, 576, 55, 15 ], [ 634, 576, 84, 15 ], [ 722, 576, 28, 15 ], [ 539, 591, 47, 15 ], [ 590, 591, 21, 15 ], [ 615, 591, 55, 15 ], [ 674, 591, 27, 15 ], [ 705, 591, 48, 15 ], [ 539, 607, 18, 15 ], [ 561, 607, 59, 15 ], [ 624, 607, 58, 15 ], [ 686, 607, 39, 15 ], [ 539, 623, 64, 15 ], [ 606, 623, 44, 15 ], [ 654, 623, 46, 15 ], [ 704, 623, 18, 15 ], [ 725, 623, 26, 15 ], [ 539, 639, 49, 15 ], [ 592, 639, 17, 15 ], [ 613, 639, 35, 15 ], [ 652, 639, 38, 15 ], [ 693, 639, 58, 15 ], [ 539, 670, 63, 15 ], [ 609, 670, 80, 15 ], [ 693, 670, 44, 15 ], [ 740, 666, 4, 15 ], [ 539, 686, 54, 15 ], [ 597, 686, 61, 15 ], [ 663, 682, 4, 15 ], [ 672, 686, 37, 15 ], [ 713, 686, 38, 15 ], [ 755, 682, 4, 15 ], [ 539, 702, 47, 15 ], [ 590, 702, 47, 15 ], [ 641, 698, 4, 15 ], [ 649, 702, 55, 15 ], [ 539, 717, 58, 15 ], [ 601, 717, 48, 15 ], [ 66, 778, 52, 16 ], [ 122, 778, 12, 16 ], [ 138, 778, 36, 16 ], [ 178, 778, 38, 16 ], [ 220, 778, 56, 16 ], [ 66, 811, 37, 15 ], [ 109, 811, 38, 15 ], [ 151, 811, 10, 15 ], [ 166, 811, 18, 15 ], [ 189, 811, 28, 15 ], [ 223, 811, 60, 15 ], [ 287, 811, 55, 15 ], [ 348, 811, 58, 15 ], [ 66, 826, 42, 15 ], [ 111, 826, 21, 15 ], [ 135, 826, 43, 15 ], [ 180, 826, 32, 15 ], [ 215, 826, 12, 15 ], [ 230, 826, 81, 15 ], [ 314, 826, 32, 15 ], [ 348, 826, 12, 15 ], [ 363, 826, 43, 15 ], [ 66, 842, 12, 15 ], [ 81, 842, 18, 15 ], [ 102, 842, 47, 15 ], [ 153, 842, 38, 15 ], [ 193, 842, 23, 15 ], [ 219, 842, 45, 15 ], [ 267, 842, 12, 15 ], [ 282, 842, 25, 15 ], [ 310, 842, 31, 15 ], [ 344, 842, 21, 15 ], [ 368, 842, 37, 15 ], [ 66, 858, 28, 15 ], [ 101, 858, 35, 15 ], [ 143, 858, 38, 15 ], [ 187, 858, 17, 15 ], [ 210, 858, 43, 15 ], [ 260, 858, 12, 15 ], [ 278, 858, 18, 15 ], [ 303, 858, 19, 15 ], [ 328, 858, 12, 15 ], [ 346, 858, 30, 15 ], [ 383, 858, 23, 15 ], [ 66, 874, 55, 15 ], [ 130, 874, 12, 15 ], [ 149, 874, 14, 15 ], [ 171, 874, 48, 15 ], [ 226, 874, 21, 15 ], [ 255, 874, 44, 15 ], [ 307, 874, 70, 15 ], [ 385, 874, 21, 15 ], [ 66, 889, 44, 15 ], [ 113, 889, 73, 15 ], [ 189, 889, 22, 15 ], [ 213, 889, 35, 15 ], [ 250, 889, 65, 15 ], [ 318, 889, 26, 15 ], [ 346, 889, 12, 15 ], [ 361, 889, 44, 15 ], [ 66, 905, 48, 15 ], [ 118, 905, 12, 15 ], [ 134, 905, 18, 15 ], [ 156, 905, 47, 15 ], [ 206, 905, 45, 15 ], [ 255, 905, 20, 15 ], [ 278, 905, 26, 15 ], [ 308, 905, 28, 15 ], [ 339, 905, 51, 15 ], [ 393, 905, 12, 15 ], [ 66, 921, 14, 15 ], [ 83, 921, 66, 15 ], [ 151, 921, 44, 15 ], [ 197, 921, 17, 15 ], [ 217, 921, 35, 15 ], [ 254, 921, 41, 15 ], [ 297, 921, 26, 15 ], [ 326, 921, 55, 15 ], [ 383, 921, 23, 15 ], [ 66, 937, 33, 15 ], [ 103, 937, 15, 15 ], [ 121, 937, 18, 15 ], [ 143, 937, 37, 15 ], [ 183, 937, 12, 15 ], [ 199, 937, 19, 15 ], [ 221, 937, 47, 15 ], [ 271, 937, 44, 15 ], [ 319, 937, 22, 15 ], [ 344, 937, 61, 15 ], [ 66, 952, 28, 15 ], [ 100, 952, 44, 15 ], [ 148, 952, 17, 15 ], [ 170, 952, 41, 15 ], [ 216, 952, 12, 15 ], [ 234, 952, 35, 15 ], [ 273, 952, 41, 15 ], [ 319, 952, 30, 15 ], [ 354, 952, 25, 15 ], [ 384, 952, 21, 15 ], [ 421, 779, 48, 15 ], [ 472, 779, 37, 15 ], [ 514, 779, 34, 15 ], [ 552, 779, 37, 15 ], [ 592, 779, 28, 15 ], [ 624, 779, 7, 15 ], [ 635, 779, 62, 15 ], [ 701, 779, 40, 15 ], [ 745, 779, 15, 15 ], [ 421, 795, 47, 15 ], [ 472, 795, 21, 15 ], [ 498, 795, 12, 15 ], [ 515, 795, 18, 15 ], [ 538, 795, 39, 15 ], [ 582, 795, 14, 15 ], [ 601, 795, 55, 15 ], [ 660, 795, 82, 15 ], [ 747, 795, 12, 15 ], [ 421, 811, 18, 15 ], [ 444, 811, 40, 15 ], [ 489, 811, 40, 15 ], [ 534, 811, 12, 15 ], [ 551, 811, 35, 15 ], [ 590, 811, 38, 15 ], [ 633, 811, 46, 15 ], [ 684, 811, 12, 15 ], [ 700, 811, 18, 15 ], [ 723, 811, 20, 15 ], [ 747, 811, 12, 15 ], [ 421, 826, 103, 15 ], [ 528, 826, 46, 15 ], [ 578, 826, 22, 15 ], [ 604, 826, 28, 15 ], [ 637, 826, 48, 15 ], [ 690, 826, 12, 15 ], [ 706, 826, 54, 15 ], [ 421, 842, 15, 15 ], [ 439, 842, 19, 15 ], [ 460, 842, 47, 15 ], [ 510, 842, 40, 15 ], [ 553, 842, 17, 15 ], [ 573, 842, 54, 15 ], [ 630, 842, 12, 15 ], [ 646, 842, 35, 15 ], [ 684, 842, 38, 15 ], [ 725, 842, 16, 15 ], [ 744, 842, 16, 15 ], [ 421, 858, 31, 15 ], [ 457, 858, 38, 15 ], [ 500, 858, 12, 15 ], [ 517, 858, 68, 15 ], [ 591, 858, 40, 15 ], [ 636, 858, 78, 15 ], [ 720, 858, 40, 15 ], [ 421, 874, 47, 15 ], [ 471, 874, 27, 15 ], [ 502, 874, 17, 15 ], [ 523, 874, 26, 15 ], [ 552, 874, 54, 15 ], [ 610, 874, 43, 15 ], [ 657, 874, 102, 15 ], [ 421, 889, 43, 15 ], [ 473, 889, 57, 15 ], [ 540, 889, 26, 15 ], [ 575, 889, 73, 15 ], [ 657, 889, 44, 15 ], [ 711, 889, 49, 15 ], [ 421, 905, 54, 15 ], [ 483, 905, 17, 15 ], [ 507, 905, 45, 15 ], [ 559, 905, 26, 15 ], [ 593, 905, 52, 15 ], [ 652, 905, 35, 15 ], [ 694, 905, 38, 15 ], [ 739, 905, 21, 15 ], [ 421, 921, 44, 15 ], [ 473, 921, 12, 15 ], [ 492, 921, 21, 15 ], [ 521, 921, 79, 15 ], [ 607, 921, 65, 15 ], [ 680, 921, 35, 15 ], [ 722, 921, 38, 15 ], [ 421, 937, 55, 15 ], [ 479, 937, 72, 15 ], [ 554, 937, 28, 15 ], [ 585, 937, 75, 15 ], [ 663, 937, 12, 15 ], [ 677, 937, 33, 15 ], [ 713, 937, 47, 15 ], [ 421, 952, 53, 15 ], [ 477, 952, 12, 15 ], [ 492, 952, 18, 15 ], [ 513, 952, 39, 15 ], [ 555, 952, 51, 15 ], [ 609, 952, 12, 15 ], [ 624, 952, 14, 15 ], [ 641, 952, 55, 15 ], [ 699, 952, 61, 15 ] ]
[ 0, 0, 0, 0, 0, 0, 0, 11, 11, 11, 11, 11, 11, 11, 11, 11, 11, 11, 11, 11, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 ]
3232355
[ "Original", "Article", "Clinics", "in", "Orthopedic", "Surgery", "2011;3:279-284", "http://dx.doi.org/10.4055/cios.2011.3.4.279", "Medial", "Unicompartmental", "Knee", "Arthroplasty", "in", "Patients", "with", "Spontaneous", "Osteonecrosis", "of", "the", "Knee", "Won-Sik", "Choy,", "MD,", "Kap", "Jung", "Kim,", "MD,", "Sang", "Ki", "Lee,", "MD,", "Dae", "Suk", "Yang,", "MD,", "Choon", "Myeon", "Kim,", "MD,", "Ju", "Sang", "Park,", "MD", "Department", "of", "Orthopaedic", "Surgery,", "Eulji", "University", "School", "of", "Medicine,", "Daejeon,", "Korea", "Background:", "We", "analyzed", "the", "clinical", "and", "radiologic", "results", "of", "patients", "with", "spontaneous", "osteonecrosis", "of", "the", "knee", "treated", "by", "minimally", "invasive", "medial", "unicompartmental", "arthroplasty", "using", "Oxford", "Uni.", "Methods:", "We", "reviewed", "22", "knees", "in", "21", "patients", "which", "were", "treated", "for", "spontaneous", "osteonecrosis", "between", "2002", "and", "2006.", "Pa-", "tients", "included", "one", "male", "and", "20", "females.", "The", "mean", "age", "was", "70.8", "years", "(range,", "53", "to", "82", "years).", "The", "mean", "follow-up", "period", "was", "70.3", "months", "(range,", "48", "to", "93", "months).", "The", "clinical", "results", "were", "evaluated", "using", "the", "Hospital", "for", "Special", "Surgery", "(HSS)", "knee", "score", "and", "the", "range", "of", "motion", "of", "the", "knee", "preoperatively", "and", "at", "the", "final", "follow-up.", "Preoperative", "plain", "radiographs", "and", "magnetic", "reso-", "nance", "images", "were", "analyzed", "to", "determine", "the", "size", "and", "stage", "of", "osteonecrotic", "lesions.", "Results:", "The", "mean", "HSS", "knee", "score", "was", "64.3", "(range,", "54", "to", "75)", "preoperatively", "and", "92.0", "(range,", "71", "to", "100)", "at", "the", "final", "follow-up.", "The", "mean", "preoperative", "flexion", "contracture", "was", "8.9o", "(range,", "0", "to", "15o)", "and", "0.2o", "(range,", "0", "to", "5o)", "at", "the", "final", "follow-up.", "The", "mean", "fur-", "ther", "flexion", "increased", "from", "138.6o", "(range,", "100", "to", "145o)", "preoperatively", "to", "145.6o", "(range,", "140", "to", "150o)", "at", "the", "final", "follow-up.", "Active", "full", "flexion", "was", "possible", "within", "2", "months", "of", "the", "operation.", "The", "squatting", "position", "was", "possible", "in", "16", "patients", "(84.2%)", "out", "of", "19,", "except", "one", "case", "of", "bronchiectasis", "and", "one", "case", "of", "spine", "fracture.", "The", "cross-leg", "posture", "was", "possible", "in", "19", "patients", "(90.5%)", "out", "of", "21.", "The", "mean", "tibiofemoral", "angle", "was", "improved", "from", "varus", "0.98o", "to", "valgus", "3.22o.", "Meniscal", "bearing", "dislocation", "occurred", "in", "2", "cases", "and", "femoral", "component", "loosening", "occurred", "in", "1", "case.", "Conclusions:", "Unicompartmental", "knee", "arthroplasty", "using", "Oxford", "Uni", "could", "be", "an", "alternative", "treatment", "option", "in", "spontaneous", "os-", "teonecrosis", "of", "the", "knee.", "Keywords:", "Knee,", "Spontaneous", "osteonecrosis,", "Unicompartmental", "knee", "arthroplasty", "Spontaneous", "osteonecrosis", "of", "the", "knee", "(SPONK)", "was", "first", "reported", "by", "Ahlback", "et", "al.1)", "in", "1968.", "Since", "then,", "the", "terms", "SPONK", "and", "Ahlback’s", "disease", "have", "been", "used", "synony-", "mously.1)", "The", "typical", "SPONK", "patient", "is", "fifty-five", "years", "of", "age", "or", "older,", "has", "no", "risk", "factors,", "has", "unilateral", "monoar-", "ticular", "pain,", "has", "limited", "involvement", "of", "the", "periarticular", "Received", "April", "13,", "2011;", "Accepted", "August", "24,", "2011", "Correspondence", "to:", "Kap", "Jung", "Kim,", "MD", "Department", "of", "Orthopaedic", "Surgery,", "Eulji", "University", "School", "of", "Medicine,", "1306", "Dunsan-dong,", "Seo-gu,", "Daejeon", "322-799,", "Korea", "Tel:", "+82-42-611-3278,", "Fax:", "+82-42-259-1289", "E-mail:", "oskkj@eulji.ac.kr", "bone,", "and", "is", "involved", "mainly", "in", "medial", "femoral", "condyle.2)", "The", "clinical", "presentation", "of", "SPONK", "commonly", "includes", "sudden", "onset", "of", "acute", "pain", "which", "is", "frequently", "worse", "at", "night.2)", "The", "sudden", "acute", "onset", "of", "pain", "correlates", "with", "reports", "in", "the", "literature", "stating", "that", "insufficiency", "fractures", "with", "natural", "and", "expected", "surrounding", "necrosis", "of", "bone", "may", "be", "the", "underlying", "clinical", "pathology", "of", "this", "disorder.", "However,", "the", "exact", "pathogenesis", "is", "still", "unknown.", "The", "treatment", "options", "of", "SPONK", "are", "microfracture", "technique,", "high", "tibial", "osteotomy,", "unicompartmental", "knee", "arthroplas-", "ty,", "or", "total", "knee", "arthroplasty", "depending", "on", "the", "location,", "size,", "and", "progression", "of", "lesion,", "and", "on", "the", "patient's", "age", "and", "activity.", "In", "stages", "described", "as", "advanced", "by", "Mont", "clas-", "Copyright", "©", "2011", "by", "The", "Korean", "Orthopaedic", "Association", "This", "is", "an", "Open", "Access", "article", "distributed", "under", "the", "terms", "of", "the", "Creative", "Commons", "Attribution", "Non-Commercial", "License", "(http://creativecommons.org/licenses/by-nc/3.0)", "which", "permits", "unrestricted", "non-commercial", "use,", "distribution,", "and", "reproduction", "in", "any", "medium,", "provided", "the", "original", "work", "is", "properly", "cited.", "Clinics", "in", "Orthopedic", "Surgery", "pISSN", "2005-291X", "eISSN", "2005-4408" ]
[ [ 112, 98, 52, 17 ], [ 167, 98, 44, 17 ], [ 261, 100, 32, 13 ], [ 295, 100, 9, 13 ], [ 306, 100, 53, 13 ], [ 361, 100, 38, 13 ], [ 401, 100, 67, 13 ], [ 479, 100, 191, 13 ], [ 191, 165, 97, 34 ], [ 296, 165, 261, 34 ], [ 564, 165, 71, 34 ], [ 128, 198, 167, 34 ], [ 302, 198, 28, 34 ], [ 338, 198, 107, 34 ], [ 452, 198, 61, 34 ], [ 521, 198, 177, 34 ], [ 234, 231, 194, 34 ], [ 435, 231, 28, 34 ], [ 470, 231, 44, 34 ], [ 522, 231, 71, 34 ], [ 222, 280, 58, 17 ], [ 283, 280, 38, 17 ], [ 324, 280, 30, 17 ], [ 357, 280, 27, 17 ], [ 387, 280, 31, 17 ], [ 421, 280, 33, 17 ], [ 457, 280, 30, 17 ], [ 490, 280, 32, 17 ], [ 525, 280, 16, 17 ], [ 544, 280, 27, 17 ], [ 574, 280, 30, 17 ], [ 206, 300, 27, 17 ], [ 236, 300, 25, 17 ], [ 264, 300, 36, 17 ], [ 303, 300, 30, 17 ], [ 336, 300, 46, 17 ], [ 385, 300, 46, 17 ], [ 434, 300, 33, 17 ], [ 470, 300, 30, 17 ], [ 504, 300, 14, 17 ], [ 521, 300, 32, 17 ], [ 555, 300, 34, 17 ], [ 593, 300, 27, 17 ], [ 203, 332, 59, 13 ], [ 264, 332, 10, 13 ], [ 275, 332, 60, 13 ], [ 337, 332, 39, 13 ], [ 378, 332, 23, 13 ], [ 403, 332, 49, 13 ], [ 455, 332, 31, 13 ], [ 488, 332, 10, 13 ], [ 500, 332, 47, 13 ], [ 549, 332, 43, 13 ], [ 594, 332, 29, 13 ], [ 85, 399, 72, 14 ], [ 161, 399, 18, 14 ], [ 182, 399, 45, 14 ], [ 230, 399, 17, 14 ], [ 250, 399, 36, 14 ], [ 289, 399, 19, 14 ], [ 311, 399, 50, 14 ], [ 364, 399, 35, 14 ], [ 401, 399, 11, 14 ], [ 415, 399, 41, 14 ], [ 460, 399, 23, 14 ], [ 486, 399, 65, 14 ], [ 554, 399, 70, 14 ], [ 627, 399, 10, 14 ], [ 640, 399, 17, 14 ], [ 660, 399, 24, 14 ], [ 688, 399, 37, 14 ], [ 728, 399, 12, 14 ], [ 85, 420, 49, 14 ], [ 137, 420, 41, 14 ], [ 181, 420, 34, 14 ], [ 218, 420, 91, 14 ], [ 312, 420, 61, 14 ], [ 375, 420, 27, 14 ], [ 405, 420, 34, 14 ], [ 442, 420, 21, 14 ], [ 85, 441, 53, 14 ], [ 141, 441, 18, 14 ], [ 162, 441, 47, 14 ], [ 212, 441, 13, 14 ], [ 228, 441, 30, 14 ], [ 261, 441, 10, 14 ], [ 274, 441, 13, 14 ], [ 290, 441, 41, 14 ], [ 334, 441, 30, 14 ], [ 368, 441, 26, 14 ], [ 397, 441, 37, 14 ], [ 436, 441, 14, 14 ], [ 454, 441, 65, 14 ], [ 521, 441, 70, 14 ], [ 594, 441, 45, 14 ], [ 642, 441, 25, 14 ], [ 670, 441, 19, 14 ], [ 692, 441, 28, 14 ], [ 723, 441, 17, 14 ], [ 85, 461, 29, 14 ], [ 118, 461, 43, 14 ], [ 164, 461, 19, 14 ], [ 186, 461, 25, 14 ], [ 215, 461, 19, 14 ], [ 237, 461, 13, 14 ], [ 253, 461, 44, 14 ], [ 300, 461, 19, 14 ], [ 322, 461, 28, 14 ], [ 354, 461, 19, 14 ], [ 376, 461, 21, 14 ], [ 400, 461, 22, 14 ], [ 426, 461, 27, 14 ], [ 456, 461, 35, 14 ], [ 495, 461, 13, 14 ], [ 511, 461, 11, 14 ], [ 525, 461, 13, 14 ], [ 541, 461, 34, 14 ], [ 578, 461, 19, 14 ], [ 600, 461, 28, 14 ], [ 632, 461, 48, 14 ], [ 683, 461, 32, 14 ], [ 719, 461, 21, 14 ], [ 85, 482, 22, 14 ], [ 110, 482, 38, 14 ], [ 151, 482, 35, 14 ], [ 189, 482, 13, 14 ], [ 204, 482, 10, 14 ], [ 218, 482, 13, 14 ], [ 233, 482, 44, 14 ], [ 280, 482, 19, 14 ], [ 302, 482, 36, 14 ], [ 341, 482, 34, 14 ], [ 378, 482, 26, 14 ], [ 407, 482, 50, 14 ], [ 460, 482, 27, 14 ], [ 490, 482, 17, 14 ], [ 509, 482, 42, 14 ], [ 555, 482, 14, 14 ], [ 572, 482, 37, 14 ], [ 612, 482, 39, 14 ], [ 654, 482, 28, 14 ], [ 685, 482, 24, 14 ], [ 712, 482, 28, 14 ], [ 85, 503, 19, 14 ], [ 107, 503, 17, 14 ], [ 127, 503, 29, 14 ], [ 160, 503, 10, 14 ], [ 173, 503, 35, 14 ], [ 212, 503, 11, 14 ], [ 225, 503, 17, 14 ], [ 245, 503, 24, 14 ], [ 273, 503, 72, 14 ], [ 348, 503, 19, 14 ], [ 370, 503, 11, 14 ], [ 384, 503, 17, 14 ], [ 404, 503, 22, 14 ], [ 429, 503, 51, 14 ], [ 484, 503, 64, 14 ], [ 550, 503, 25, 14 ], [ 579, 503, 60, 14 ], [ 642, 503, 19, 14 ], [ 664, 503, 47, 14 ], [ 714, 503, 26, 14 ], [ 85, 524, 30, 14 ], [ 118, 524, 37, 14 ], [ 158, 524, 26, 14 ], [ 186, 524, 44, 14 ], [ 233, 524, 10, 14 ], [ 246, 524, 51, 14 ], [ 300, 524, 17, 14 ], [ 320, 524, 20, 14 ], [ 342, 524, 19, 14 ], [ 364, 524, 28, 14 ], [ 394, 524, 11, 14 ], [ 408, 524, 68, 14 ], [ 479, 524, 39, 14 ], [ 85, 545, 45, 14 ], [ 134, 545, 19, 14 ], [ 156, 545, 28, 14 ], [ 188, 545, 22, 14 ], [ 214, 545, 24, 14 ], [ 241, 545, 28, 14 ], [ 272, 545, 21, 14 ], [ 297, 545, 22, 14 ], [ 323, 545, 35, 14 ], [ 361, 545, 13, 14 ], [ 378, 545, 10, 14 ], [ 392, 545, 16, 14 ], [ 411, 545, 72, 14 ], [ 487, 545, 19, 14 ], [ 509, 545, 22, 14 ], [ 535, 545, 35, 14 ], [ 573, 545, 13, 14 ], [ 589, 545, 11, 14 ], [ 603, 545, 22, 14 ], [ 629, 545, 10, 14 ], [ 643, 545, 17, 14 ], [ 663, 545, 22, 14 ], [ 689, 545, 51, 14 ], [ 85, 566, 19, 14 ], [ 107, 566, 28, 14 ], [ 139, 566, 64, 14 ], [ 205, 566, 34, 14 ], [ 242, 566, 58, 14 ], [ 303, 566, 21, 14 ], [ 327, 564, 20, 16 ], [ 350, 566, 35, 14 ], [ 388, 566, 7, 14 ], [ 398, 566, 10, 14 ], [ 411, 564, 20, 16 ], [ 434, 566, 19, 14 ], [ 456, 564, 20, 16 ], [ 478, 566, 35, 14 ], [ 516, 566, 7, 14 ], [ 526, 566, 11, 14 ], [ 540, 564, 13, 16 ], [ 556, 566, 10, 14 ], [ 570, 566, 17, 14 ], [ 589, 566, 22, 14 ], [ 615, 566, 51, 14 ], [ 669, 566, 19, 14 ], [ 691, 566, 28, 14 ], [ 722, 566, 18, 14 ], [ 85, 586, 20, 14 ], [ 109, 586, 34, 14 ], [ 146, 586, 49, 14 ], [ 199, 586, 24, 14 ], [ 226, 584, 32, 16 ], [ 261, 586, 35, 14 ], [ 300, 586, 19, 14 ], [ 322, 586, 11, 14 ], [ 336, 584, 26, 16 ], [ 365, 586, 72, 14 ], [ 440, 586, 10, 14 ], [ 454, 584, 32, 16 ], [ 490, 586, 35, 14 ], [ 528, 586, 19, 14 ], [ 551, 586, 10, 14 ], [ 565, 584, 26, 16 ], [ 594, 586, 10, 14 ], [ 607, 586, 17, 14 ], [ 628, 586, 22, 14 ], [ 653, 586, 51, 14 ], [ 708, 586, 32, 14 ], [ 85, 607, 17, 14 ], [ 105, 607, 34, 14 ], [ 142, 607, 21, 14 ], [ 167, 607, 42, 14 ], [ 212, 607, 32, 14 ], [ 248, 607, 7, 14 ], [ 258, 607, 37, 14 ], [ 298, 607, 11, 14 ], [ 312, 607, 17, 14 ], [ 332, 607, 51, 14 ], [ 387, 607, 19, 14 ], [ 409, 607, 48, 14 ], [ 460, 607, 41, 14 ], [ 504, 607, 21, 14 ], [ 529, 607, 42, 14 ], [ 574, 607, 10, 14 ], [ 587, 607, 13, 14 ], [ 603, 607, 41, 14 ], [ 648, 607, 39, 14 ], [ 690, 607, 17, 14 ], [ 710, 607, 10, 14 ], [ 724, 607, 16, 14 ], [ 85, 628, 34, 14 ], [ 122, 628, 19, 14 ], [ 143, 628, 24, 14 ], [ 170, 628, 10, 14 ], [ 183, 628, 73, 14 ], [ 258, 628, 19, 14 ], [ 280, 628, 19, 14 ], [ 301, 628, 24, 14 ], [ 328, 628, 10, 14 ], [ 341, 628, 28, 14 ], [ 371, 628, 43, 14 ], [ 417, 628, 19, 14 ], [ 438, 628, 46, 14 ], [ 487, 628, 38, 14 ], [ 528, 628, 21, 14 ], [ 552, 628, 42, 14 ], [ 597, 628, 10, 14 ], [ 609, 628, 13, 14 ], [ 624, 628, 41, 14 ], [ 668, 628, 39, 14 ], [ 710, 628, 17, 14 ], [ 729, 628, 11, 14 ], [ 85, 649, 16, 14 ], [ 104, 649, 19, 14 ], [ 126, 649, 28, 14 ], [ 157, 649, 61, 14 ], [ 221, 649, 28, 14 ], [ 253, 649, 21, 14 ], [ 277, 649, 47, 14 ], [ 327, 649, 24, 14 ], [ 353, 649, 28, 14 ], [ 384, 647, 26, 16 ], [ 412, 649, 10, 14 ], [ 426, 649, 33, 14 ], [ 461, 647, 29, 16 ], [ 493, 649, 47, 14 ], [ 543, 649, 38, 14 ], [ 584, 649, 55, 14 ], [ 642, 649, 44, 14 ], [ 689, 649, 10, 14 ], [ 701, 649, 7, 14 ], [ 711, 649, 29, 14 ], [ 85, 670, 19, 14 ], [ 107, 670, 39, 14 ], [ 149, 670, 56, 14 ], [ 207, 670, 49, 14 ], [ 259, 670, 44, 14 ], [ 305, 670, 10, 14 ], [ 317, 670, 7, 14 ], [ 327, 670, 27, 14 ], [ 85, 691, 73, 14 ], [ 161, 691, 93, 14 ], [ 257, 691, 24, 14 ], [ 285, 691, 61, 14 ], [ 348, 691, 28, 14 ], [ 379, 691, 34, 14 ], [ 416, 691, 17, 14 ], [ 436, 691, 28, 14 ], [ 467, 691, 13, 14 ], [ 482, 691, 13, 14 ], [ 498, 691, 55, 14 ], [ 556, 691, 50, 14 ], [ 609, 691, 32, 14 ], [ 644, 691, 10, 14 ], [ 656, 691, 65, 14 ], [ 724, 691, 16, 14 ], [ 85, 711, 58, 14 ], [ 146, 711, 10, 14 ], [ 159, 711, 17, 14 ], [ 179, 711, 28, 14 ], [ 85, 732, 60, 14 ], [ 148, 732, 29, 14 ], [ 179, 732, 66, 14 ], [ 248, 732, 73, 14 ], [ 324, 732, 93, 14 ], [ 419, 732, 24, 14 ], [ 446, 732, 61, 14 ], [ 68, 802, 74, 15 ], [ 145, 802, 77, 15 ], [ 226, 802, 12, 15 ], [ 241, 802, 19, 15 ], [ 263, 802, 28, 15 ], [ 294, 802, 56, 15 ], [ 353, 802, 22, 15 ], [ 379, 802, 23, 15 ], [ 68, 820, 50, 15 ], [ 121, 820, 14, 15 ], [ 139, 820, 48, 15 ], [ 191, 820, 11, 15 ], [ 205, 817, 20, 17 ], [ 229, 820, 12, 15 ], [ 244, 820, 31, 15 ], [ 279, 820, 31, 15 ], [ 313, 820, 30, 15 ], [ 346, 820, 19, 15 ], [ 368, 820, 33, 15 ], [ 68, 838, 47, 15 ], [ 120, 838, 23, 15 ], [ 147, 838, 57, 15 ], [ 208, 838, 43, 15 ], [ 255, 838, 28, 15 ], [ 287, 838, 29, 15 ], [ 321, 838, 28, 15 ], [ 353, 838, 48, 15 ], [ 68, 854, 52, 17 ], [ 124, 856, 23, 15 ], [ 151, 856, 39, 15 ], [ 194, 856, 46, 15 ], [ 244, 856, 41, 15 ], [ 288, 856, 10, 15 ], [ 302, 856, 50, 15 ], [ 356, 856, 30, 15 ], [ 389, 856, 12, 15 ], [ 68, 874, 20, 15 ], [ 92, 874, 13, 15 ], [ 109, 874, 33, 15 ], [ 147, 874, 20, 15 ], [ 171, 874, 16, 15 ], [ 191, 874, 23, 15 ], [ 217, 874, 44, 15 ], [ 265, 874, 20, 15 ], [ 289, 874, 56, 15 ], [ 350, 874, 52, 15 ], [ 68, 892, 38, 15 ], [ 110, 892, 30, 15 ], [ 144, 892, 20, 15 ], [ 167, 892, 42, 15 ], [ 213, 892, 72, 15 ], [ 290, 892, 12, 15 ], [ 305, 892, 19, 15 ], [ 328, 892, 73, 15 ], [ 68, 944, 41, 13 ], [ 112, 944, 22, 13 ], [ 136, 944, 14, 13 ], [ 153, 944, 25, 13 ], [ 181, 944, 43, 13 ], [ 226, 944, 32, 13 ], [ 260, 944, 14, 13 ], [ 277, 944, 23, 13 ], [ 68, 961, 73, 13 ], [ 144, 961, 12, 13 ], [ 158, 961, 18, 13 ], [ 179, 961, 23, 13 ], [ 204, 961, 21, 13 ], [ 226, 961, 17, 13 ], [ 68, 977, 54, 13 ], [ 125, 977, 10, 13 ], [ 138, 977, 55, 13 ], [ 196, 977, 37, 13 ], [ 237, 977, 20, 13 ], [ 260, 977, 46, 13 ], [ 309, 977, 31, 13 ], [ 343, 977, 10, 13 ], [ 355, 977, 46, 13 ], [ 68, 994, 23, 13 ], [ 93, 994, 63, 13 ], [ 158, 994, 35, 13 ], [ 196, 994, 38, 13 ], [ 236, 994, 40, 13 ], [ 279, 994, 27, 13 ], [ 68, 1011, 16, 13 ], [ 87, 1011, 80, 13 ], [ 169, 1011, 19, 13 ], [ 190, 1011, 78, 13 ], [ 68, 1027, 32, 13 ], [ 102, 1027, 77, 13 ], [ 425, 802, 32, 15 ], [ 460, 802, 22, 15 ], [ 486, 802, 10, 15 ], [ 499, 802, 49, 15 ], [ 552, 802, 40, 15 ], [ 595, 802, 12, 15 ], [ 611, 802, 40, 15 ], [ 654, 802, 45, 15 ], [ 702, 799, 55, 17 ], [ 425, 820, 24, 15 ], [ 452, 820, 42, 15 ], [ 498, 820, 73, 15 ], [ 575, 820, 12, 15 ], [ 591, 820, 47, 15 ], [ 642, 820, 63, 15 ], [ 709, 820, 49, 15 ], [ 425, 838, 43, 15 ], [ 472, 838, 32, 15 ], [ 508, 838, 12, 15 ], [ 524, 838, 31, 15 ], [ 559, 838, 26, 15 ], [ 590, 838, 36, 15 ], [ 630, 838, 10, 15 ], [ 644, 838, 60, 15 ], [ 708, 838, 35, 15 ], [ 747, 838, 11, 15 ], [ 425, 854, 43, 17 ], [ 471, 856, 24, 15 ], [ 500, 856, 44, 15 ], [ 548, 856, 32, 15 ], [ 584, 856, 32, 15 ], [ 621, 856, 12, 15 ], [ 637, 856, 27, 15 ], [ 668, 856, 58, 15 ], [ 731, 856, 27, 15 ], [ 425, 874, 41, 15 ], [ 469, 874, 12, 15 ], [ 485, 874, 19, 15 ], [ 507, 874, 52, 15 ], [ 562, 874, 39, 15 ], [ 605, 874, 23, 15 ], [ 631, 874, 73, 15 ], [ 707, 874, 51, 15 ], [ 425, 892, 26, 15 ], [ 455, 892, 42, 15 ], [ 501, 892, 22, 15 ], [ 527, 892, 52, 15 ], [ 583, 892, 73, 15 ], [ 660, 892, 48, 15 ], [ 712, 892, 12, 15 ], [ 728, 892, 30, 15 ], [ 425, 910, 25, 15 ], [ 453, 910, 14, 15 ], [ 471, 910, 19, 15 ], [ 493, 910, 63, 15 ], [ 560, 910, 41, 15 ], [ 605, 910, 58, 15 ], [ 666, 910, 12, 15 ], [ 682, 910, 22, 15 ], [ 707, 910, 51, 15 ], [ 425, 928, 57, 15 ], [ 486, 928, 19, 15 ], [ 509, 928, 31, 15 ], [ 545, 928, 78, 15 ], [ 627, 928, 10, 15 ], [ 641, 928, 22, 15 ], [ 668, 928, 61, 15 ], [ 734, 928, 24, 15 ], [ 425, 946, 56, 15 ], [ 484, 946, 43, 15 ], [ 530, 946, 12, 15 ], [ 545, 946, 46, 15 ], [ 594, 946, 18, 15 ], [ 615, 946, 79, 15 ], [ 698, 946, 60, 15 ], [ 425, 964, 26, 15 ], [ 454, 964, 29, 15 ], [ 487, 964, 62, 15 ], [ 552, 964, 108, 15 ], [ 663, 964, 28, 15 ], [ 694, 964, 64, 15 ], [ 425, 982, 14, 15 ], [ 442, 982, 13, 15 ], [ 460, 982, 27, 15 ], [ 490, 982, 28, 15 ], [ 522, 982, 71, 15 ], [ 598, 982, 63, 15 ], [ 664, 982, 16, 15 ], [ 684, 982, 19, 15 ], [ 707, 982, 51, 15 ], [ 425, 1000, 26, 15 ], [ 454, 1000, 23, 15 ], [ 481, 1000, 70, 15 ], [ 555, 1000, 12, 15 ], [ 571, 1000, 39, 15 ], [ 614, 1000, 23, 15 ], [ 641, 1000, 16, 15 ], [ 661, 1000, 19, 15 ], [ 684, 1000, 50, 15 ], [ 738, 1000, 20, 15 ], [ 425, 1018, 22, 15 ], [ 449, 1018, 44, 15 ], [ 496, 1018, 13, 15 ], [ 512, 1018, 34, 15 ], [ 549, 1018, 56, 15 ], [ 607, 1018, 12, 15 ], [ 622, 1018, 55, 15 ], [ 679, 1018, 14, 15 ], [ 696, 1018, 32, 15 ], [ 731, 1018, 27, 15 ], [ 286, 1046, 40, 12 ], [ 328, 1046, 8, 12 ], [ 338, 1046, 22, 12 ], [ 361, 1046, 11, 12 ], [ 375, 1046, 17, 12 ], [ 394, 1046, 33, 12 ], [ 428, 1046, 57, 12 ], [ 487, 1046, 52, 12 ], [ 127, 1059, 15, 9 ], [ 143, 1059, 6, 9 ], [ 151, 1059, 9, 9 ], [ 161, 1059, 19, 9 ], [ 181, 1059, 23, 9 ], [ 205, 1059, 21, 9 ], [ 228, 1059, 37, 9 ], [ 266, 1059, 20, 9 ], [ 288, 1059, 11, 9 ], [ 301, 1059, 20, 9 ], [ 322, 1059, 7, 9 ], [ 330, 1059, 11, 9 ], [ 343, 1059, 28, 9 ], [ 372, 1059, 36, 9 ], [ 409, 1059, 38, 9 ], [ 449, 1059, 60, 9 ], [ 510, 1059, 25, 9 ], [ 537, 1059, 162, 9 ], [ 178, 1068, 21, 9 ], [ 200, 1068, 26, 9 ], [ 228, 1068, 41, 9 ], [ 270, 1068, 56, 9 ], [ 328, 1068, 13, 9 ], [ 343, 1068, 42, 9 ], [ 386, 1068, 13, 9 ], [ 401, 1068, 44, 9 ], [ 446, 1068, 7, 9 ], [ 455, 1068, 12, 9 ], [ 469, 1068, 31, 9 ], [ 501, 1068, 30, 9 ], [ 532, 1068, 11, 9 ], [ 545, 1068, 27, 9 ], [ 573, 1068, 18, 9 ], [ 592, 1068, 6, 9 ], [ 599, 1068, 29, 9 ], [ 629, 1068, 18, 9 ], [ 265, 1080, 28, 12 ], [ 294, 1080, 8, 12 ], [ 304, 1080, 46, 12 ], [ 351, 1080, 30, 12 ], [ 394, 1080, 29, 12 ], [ 425, 1080, 49, 12 ], [ 484, 1080, 28, 12 ], [ 513, 1080, 47, 12 ] ]
[ 16, 16, 0, 0, 0, 0, 0, 0, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 1, 1, 1, 1, 17, 17, 17, 17, 17, 17, 17, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9 ]
3226146
[ "Critical", "Care", "June", "2004", "Vol", "8", "Suppl", "2", "Corwin", "Review", "Anemia", "and", "blood", "transfusion", "in", "the", "critically", "ill", "patient:", "role", "of", "erythropoietin", "Howard", "L", "Corwin", "Professor", "of", "Medicine", "and", "Anesthesiology,", "Dartmouth", "Medical", "School;", "Section", "Chief,", "Critical", "Care", "Medicine;", "Medical", "Director,", "Intensive", "Care", "Unit,", "Dartmouth-Hitchcock", "Medical", "Center,", "Lebanon,", "New", "Hampshire,", "USA", "Correspondence:", "Howard", "L", "Corwin,", "Howard.L.Corwin@Hitchcock.org", "Published", "online:", "14", "June", "2004", "This", "article", "is", "online", "at", "http://ccforum.com/content/8/S2/S42", "©", "2004", "BioMed", "Central", "Ltd", "Critical", "Care", "2004,", "8(Suppl", "2):S42-S44", "(DOI", "10.1186/cc2411)", "Abstract", "Critically", "ill", "patients", "receive", "an", "extraordinarily", "large", "number", "of", "blood", "transfusions.", "Between", "40%", "and", "50%", "of", "all", "patients", "admitted", "to", "intensive", "care", "units", "receive", "at", "least", "1", "red", "blood", "cell", "(RBC)", "unit", "during", "their", "stay,", "and", "the", "average", "is", "close", "to", "5", "RBC", "units.", "RBC", "transfusion", "is", "not", "risk", "free.", "There", "is", "little", "evidence", "that", "‘routine’", "transfusion", "of", "stored", "allogeneic", "RBCs", "is", "beneficial", "to", "critically", "ill", "patients.", "The", "efficacy", "of", "perioperative", "recombinant", "human", "erythropoietin", "(rHuEPO)", "has", "been", "demonstrated", "in", "a", "variety", "of", "elective", "surgical", "settings.", "Similarly,", "in", "critically", "ill", "patients", "with", "multiple", "organ", "failure,", "rHuEPO", "therapy", "will", "also", "stimulate", "erythropoiesis.", "In", "a", "randomized,", "placebo-controlled", "trial,", "therapy", "with", "rHuEPO", "resulted", "in", "a", "significant", "reduction", "in", "RBC", "transfusions.", "Despite", "receiving", "fewer", "RBC", "transfusions,", "patients", "in", "the", "rHuEPO", "group", "had", "a", "significantly", "greater", "increase", "in", "hematocrit.", "Strategies", "to", "increase", "the", "production", "of", "RBCs", "are", "complementary", "to", "other", "approaches", "to", "reduce", "blood", "loss", "in", "the", "intensive", "care", "unit,", "and", "they", "decrease", "the", "transfusion", "threshold", "in", "the", "management", "of", "all", "critically", "ill", "patients.", "Keywords", "anemia,", "blood", "transfusion,", "critical", "illness,", "erythropoietin", "Anemia", "is", "common", "in", "critically", "ill", "patients", "and", "appears", "early", "during", "their", "intensive", "care", "unit", "(ICU)", "course.", "By", "day", "3", "after", "ICU", "admission,", "almost", "95%", "of", "patients", "are", "anemic", "[1–3].", "The", "anemia", "in", "these", "critically", "ill", "patients", "persists", "throughout", "their", "ICU", "and", "hospital", "stay,", "with", "or", "without", "red", "blood", "cell", "(RBC)", "transfusion", "[3].", "Historically,", "the", "anemia", "observed", "in", "the", "critically", "ill", "resulted", "in", "a", "high", "number", "of", "RBC", "transfusions.", "Studies", "conducted", "a", "decade", "ago", "[4]", "revealed", "that", "50%", "of", "all", "patients", "admitted", "to", "the", "ICU", "are", "transfused", "during", "their", "stay.", "In", "addition,", "85%", "of", "patients", "with", "a", "prolonged", "ICU", "stay", "(>", "1", "week)", "received", "trans-", "fusions", "[5].", "On", "average,", "these", "latter", "patients", "were", "transfused", "9.5", "RBC", "units", "during", "their", "ICU", "stay.", "These", "transfusions", "are", "not", "restricted", "to", "the", "early", "ICU", "course;", "rather,", "patients", "are", "transfused", "at", "a", "rate", "of", "2–3", "units", "per", "week.", "An", "observational", "study", "of", "4892", "patients", "admitted", "to", "ICUs", "in", "the", "USA", "throughout", "2000", "and", "2001", "[3]", "found", "that", "almost", "50%", "of", "patients", "are", "still", "transfused.", "The", "results", "also", "showed", "that", "initial", "RBC", "transfusion", "tends", "to", "occur", "early", "in", "the", "ICU", "stay,", "with", "ongoing", "RBC", "transfusions", "throughout", "the", "ICU", "stay.", "The", "mean", "pretransfusion", "hemoglobin", "observed", "(i.e.", "the", "‘transfusion", "trigger’)", "was", "8.6", "±", "1.7", "g/dl", "–", "a", "value", "that", "is", "com-", "parable", "to", "that", "described", "in", "earlier", "reports", "[4,5].", "Interestingly,", "RBC", "transfusions", "were", "not", "restricted", "to", "the", "ICU;", "13%", "of", "patients", "received", "on", "average", "almost", "3", "units", "after", "ICU", "dis-", "charge.", "A", "similar", "observational", "study", "of", "transfusion", "practice", "in", "ICUs", "was", "performed", "across", "Western", "Europe", "[6].", "Data", "were", "col-", "lected", "for", "a", "maximum", "of", "28", "days", "on", "3534", "patients", "admitted", "to", "the", "ICU", "during", "a", "2-week", "period", "in", "late", "1999.", "Of", "these", "patients", "37%", "received", "a", "mean", "of", "4.8", "RBC", "units", "while", "in", "the", "ICU", "and", "12.7%", "of", "patients", "were", "transfused", "during", "the", "post-", "ICU", "period,", "for", "an", "overall", "transfusion", "rate", "of", "42%", "during", "the", "28-day", "study", "period.", "The", "mean", "pretransfusion", "hemoglobin", "level", "was", "8.4", "g/dl.", "S42", "EPO", "=", "erythropoietin;", "ICU", "=", "intensive", "care", "unit;", "RBC", "=", "red", "blood", "cell;", "rHuEPO", "=", "recombinant", "human", "erythropoietin." ]
[ [ 78, 62, 36, 12 ], [ 116, 62, 24, 12 ], [ 152, 62, 22, 12 ], [ 177, 62, 26, 12 ], [ 206, 62, 15, 12 ], [ 224, 62, 7, 12 ], [ 233, 62, 28, 12 ], [ 264, 62, 7, 12 ], [ 283, 62, 35, 12 ], [ 78, 120, 65, 21 ], [ 78, 144, 81, 23 ], [ 165, 144, 40, 23 ], [ 211, 144, 62, 23 ], [ 279, 144, 121, 23 ], [ 405, 144, 20, 23 ], [ 431, 144, 35, 23 ], [ 472, 144, 89, 23 ], [ 566, 144, 20, 23 ], [ 592, 144, 82, 23 ], [ 679, 144, 42, 23 ], [ 727, 144, 22, 23 ], [ 78, 169, 151, 23 ], [ 78, 195, 57, 17 ], [ 139, 195, 9, 17 ], [ 152, 195, 52, 17 ], [ 78, 240, 45, 12 ], [ 125, 240, 9, 12 ], [ 137, 240, 43, 12 ], [ 182, 240, 18, 12 ], [ 202, 240, 73, 12 ], [ 277, 240, 49, 12 ], [ 329, 240, 37, 12 ], [ 368, 240, 36, 12 ], [ 406, 240, 36, 12 ], [ 444, 240, 28, 12 ], [ 474, 240, 33, 12 ], [ 509, 240, 23, 12 ], [ 535, 240, 45, 12 ], [ 583, 240, 37, 12 ], [ 622, 240, 40, 12 ], [ 664, 240, 41, 12 ], [ 707, 240, 23, 12 ], [ 733, 240, 21, 12 ], [ 78, 254, 99, 12 ], [ 179, 254, 37, 12 ], [ 218, 254, 35, 12 ], [ 255, 254, 43, 12 ], [ 301, 254, 22, 12 ], [ 325, 254, 53, 12 ], [ 380, 254, 22, 12 ], [ 78, 294, 82, 12 ], [ 162, 294, 37, 12 ], [ 202, 294, 6, 12 ], [ 210, 294, 36, 12 ], [ 249, 294, 155, 12 ], [ 78, 334, 47, 12 ], [ 128, 334, 31, 12 ], [ 162, 334, 13, 12 ], [ 178, 334, 22, 12 ], [ 203, 334, 26, 12 ], [ 78, 348, 20, 12 ], [ 101, 348, 29, 12 ], [ 132, 348, 8, 12 ], [ 143, 348, 28, 12 ], [ 174, 348, 9, 12 ], [ 186, 348, 182, 12 ], [ 78, 361, 10, 12 ], [ 90, 361, 26, 12 ], [ 119, 361, 38, 12 ], [ 160, 361, 35, 12 ], [ 197, 361, 16, 12 ], [ 436, 334, 34, 12 ], [ 474, 334, 24, 12 ], [ 500, 334, 29, 12 ], [ 531, 334, 40, 12 ], [ 574, 334, 57, 12 ], [ 634, 334, 23, 12 ], [ 660, 334, 86, 12 ], [ 157, 406, 60, 15 ], [ 157, 430, 45, 13 ], [ 206, 430, 8, 13 ], [ 218, 430, 42, 13 ], [ 264, 430, 38, 13 ], [ 306, 430, 13, 13 ], [ 323, 430, 72, 13 ], [ 399, 430, 26, 13 ], [ 429, 430, 40, 13 ], [ 473, 430, 11, 13 ], [ 487, 430, 30, 13 ], [ 521, 430, 67, 13 ], [ 592, 430, 47, 13 ], [ 643, 430, 26, 13 ], [ 673, 430, 20, 13 ], [ 157, 444, 26, 13 ], [ 186, 444, 11, 13 ], [ 200, 444, 12, 13 ], [ 215, 444, 42, 13 ], [ 261, 444, 46, 13 ], [ 310, 444, 11, 13 ], [ 324, 444, 46, 13 ], [ 374, 444, 24, 13 ], [ 400, 444, 25, 13 ], [ 429, 444, 38, 13 ], [ 470, 444, 10, 13 ], [ 484, 444, 25, 13 ], [ 512, 444, 8, 13 ], [ 522, 444, 18, 13 ], [ 543, 444, 30, 13 ], [ 577, 444, 18, 13 ], [ 599, 444, 34, 13 ], [ 636, 444, 20, 13 ], [ 659, 444, 34, 13 ], [ 157, 459, 23, 13 ], [ 185, 459, 24, 13 ], [ 214, 459, 20, 13 ], [ 239, 459, 17, 13 ], [ 260, 459, 42, 13 ], [ 307, 459, 9, 13 ], [ 320, 459, 29, 13 ], [ 353, 459, 11, 13 ], [ 369, 459, 8, 13 ], [ 379, 459, 27, 13 ], [ 410, 459, 28, 13 ], [ 443, 459, 27, 13 ], [ 474, 459, 58, 13 ], [ 536, 459, 9, 13 ], [ 550, 459, 17, 13 ], [ 572, 459, 18, 13 ], [ 595, 459, 23, 13 ], [ 623, 459, 30, 13 ], [ 658, 459, 9, 13 ], [ 671, 459, 22, 13 ], [ 157, 474, 48, 13 ], [ 208, 474, 20, 13 ], [ 232, 474, 42, 13 ], [ 278, 474, 58, 13 ], [ 340, 474, 11, 13 ], [ 354, 474, 34, 13 ], [ 391, 474, 54, 13 ], [ 449, 474, 33, 13 ], [ 485, 474, 9, 13 ], [ 498, 474, 50, 13 ], [ 552, 474, 11, 13 ], [ 566, 474, 43, 13 ], [ 612, 474, 8, 13 ], [ 624, 474, 45, 13 ], [ 673, 474, 20, 13 ], [ 157, 488, 41, 13 ], [ 203, 488, 11, 13 ], [ 218, 488, 68, 13 ], [ 291, 488, 66, 13 ], [ 362, 488, 36, 13 ], [ 403, 488, 72, 13 ], [ 480, 488, 53, 13 ], [ 538, 488, 19, 13 ], [ 562, 488, 27, 13 ], [ 594, 488, 73, 13 ], [ 672, 488, 10, 13 ], [ 686, 488, 7, 13 ], [ 157, 503, 34, 13 ], [ 194, 503, 10, 13 ], [ 208, 503, 40, 13 ], [ 251, 503, 41, 13 ], [ 295, 503, 45, 13 ], [ 343, 503, 47, 13 ], [ 393, 503, 10, 13 ], [ 405, 503, 43, 13 ], [ 451, 503, 8, 13 ], [ 462, 503, 42, 13 ], [ 507, 503, 22, 13 ], [ 532, 503, 41, 13 ], [ 576, 503, 31, 13 ], [ 610, 503, 35, 13 ], [ 648, 503, 45, 13 ], [ 157, 517, 39, 13 ], [ 203, 517, 17, 13 ], [ 226, 517, 22, 13 ], [ 255, 517, 47, 13 ], [ 309, 517, 77, 13 ], [ 392, 517, 10, 13 ], [ 408, 517, 7, 13 ], [ 421, 517, 64, 13 ], [ 492, 517, 98, 13 ], [ 596, 517, 22, 13 ], [ 625, 517, 39, 13 ], [ 671, 517, 22, 13 ], [ 157, 532, 45, 13 ], [ 209, 532, 43, 13 ], [ 258, 532, 10, 13 ], [ 275, 532, 7, 13 ], [ 288, 532, 53, 13 ], [ 348, 532, 50, 13 ], [ 405, 532, 10, 13 ], [ 421, 532, 27, 13 ], [ 454, 532, 67, 13 ], [ 528, 532, 41, 13 ], [ 576, 532, 48, 13 ], [ 630, 532, 30, 13 ], [ 666, 532, 27, 13 ], [ 157, 547, 66, 13 ], [ 231, 547, 42, 13 ], [ 280, 547, 10, 13 ], [ 296, 547, 17, 13 ], [ 321, 547, 45, 13 ], [ 373, 547, 31, 13 ], [ 411, 547, 20, 13 ], [ 439, 547, 7, 13 ], [ 452, 547, 61, 13 ], [ 521, 547, 38, 13 ], [ 566, 547, 45, 13 ], [ 618, 547, 10, 13 ], [ 634, 547, 59, 13 ], [ 157, 561, 54, 13 ], [ 216, 561, 11, 13 ], [ 232, 561, 45, 13 ], [ 281, 561, 17, 13 ], [ 303, 561, 57, 13 ], [ 365, 561, 11, 13 ], [ 380, 561, 32, 13 ], [ 418, 561, 17, 13 ], [ 439, 561, 81, 13 ], [ 525, 561, 11, 13 ], [ 540, 561, 28, 13 ], [ 573, 561, 63, 13 ], [ 640, 561, 11, 13 ], [ 656, 561, 37, 13 ], [ 157, 576, 30, 13 ], [ 190, 576, 22, 13 ], [ 215, 576, 10, 13 ], [ 227, 576, 17, 13 ], [ 246, 576, 46, 13 ], [ 295, 576, 24, 13 ], [ 322, 576, 22, 13 ], [ 347, 576, 20, 13 ], [ 370, 576, 22, 13 ], [ 395, 576, 49, 13 ], [ 447, 576, 17, 13 ], [ 466, 576, 58, 13 ], [ 527, 576, 49, 13 ], [ 579, 576, 10, 13 ], [ 591, 576, 17, 13 ], [ 611, 576, 68, 13 ], [ 682, 576, 11, 13 ], [ 157, 590, 12, 13 ], [ 172, 590, 42, 13 ], [ 217, 590, 8, 13 ], [ 228, 590, 45, 13 ], [ 157, 621, 50, 12 ], [ 210, 621, 37, 12 ], [ 249, 621, 27, 12 ], [ 279, 621, 55, 12 ], [ 336, 621, 31, 12 ], [ 370, 621, 32, 12 ], [ 405, 621, 65, 12 ], [ 78, 692, 41, 13 ], [ 124, 692, 9, 13 ], [ 137, 692, 48, 13 ], [ 189, 692, 10, 13 ], [ 204, 692, 44, 13 ], [ 252, 692, 9, 13 ], [ 265, 692, 44, 13 ], [ 313, 692, 21, 13 ], [ 339, 692, 45, 13 ], [ 387, 692, 26, 13 ], [ 78, 709, 35, 13 ], [ 118, 709, 24, 13 ], [ 147, 709, 48, 13 ], [ 200, 709, 24, 13 ], [ 229, 709, 20, 13 ], [ 254, 709, 30, 13 ], [ 289, 709, 41, 13 ], [ 334, 709, 15, 13 ], [ 354, 709, 20, 13 ], [ 376, 709, 8, 13 ], [ 389, 709, 25, 13 ], [ 78, 725, 22, 13 ], [ 106, 725, 58, 13 ], [ 170, 725, 36, 13 ], [ 212, 725, 27, 13 ], [ 245, 725, 11, 13 ], [ 261, 725, 44, 13 ], [ 311, 725, 18, 13 ], [ 334, 725, 40, 13 ], [ 379, 725, 34, 13 ], [ 78, 741, 21, 13 ], [ 103, 741, 39, 13 ], [ 147, 741, 10, 13 ], [ 161, 741, 30, 13 ], [ 196, 741, 44, 13 ], [ 245, 741, 9, 13 ], [ 258, 741, 44, 13 ], [ 306, 741, 43, 13 ], [ 353, 741, 60, 13 ], [ 78, 758, 24, 13 ], [ 108, 758, 22, 13 ], [ 136, 758, 21, 13 ], [ 162, 758, 43, 13 ], [ 211, 758, 25, 13 ], [ 242, 758, 23, 13 ], [ 270, 758, 11, 13 ], [ 287, 758, 40, 13 ], [ 333, 758, 18, 13 ], [ 357, 758, 32, 13 ], [ 394, 758, 19, 13 ], [ 78, 774, 36, 13 ], [ 117, 774, 60, 13 ], [ 180, 774, 19, 13 ], [ 78, 807, 63, 13 ], [ 145, 807, 18, 13 ], [ 165, 807, 39, 13 ], [ 208, 807, 51, 13 ], [ 262, 807, 10, 13 ], [ 276, 807, 18, 13 ], [ 296, 807, 44, 13 ], [ 344, 807, 9, 13 ], [ 356, 807, 44, 13 ], [ 404, 807, 10, 13 ], [ 78, 823, 7, 13 ], [ 91, 823, 24, 13 ], [ 121, 823, 42, 13 ], [ 168, 823, 11, 13 ], [ 185, 823, 28, 13 ], [ 218, 823, 69, 13 ], [ 293, 823, 42, 13 ], [ 341, 823, 59, 13 ], [ 406, 823, 7, 13 ], [ 78, 839, 41, 13 ], [ 123, 839, 21, 13 ], [ 148, 839, 16, 13 ], [ 167, 839, 47, 13 ], [ 218, 839, 21, 13 ], [ 242, 839, 27, 13 ], [ 273, 839, 11, 13 ], [ 287, 839, 12, 13 ], [ 303, 839, 44, 13 ], [ 350, 839, 48, 13 ], [ 402, 839, 11, 13 ], [ 78, 856, 18, 13 ], [ 100, 856, 22, 13 ], [ 126, 856, 18, 13 ], [ 148, 856, 58, 13 ], [ 209, 856, 35, 13 ], [ 248, 856, 24, 13 ], [ 277, 856, 25, 13 ], [ 306, 856, 10, 13 ], [ 320, 856, 47, 13 ], [ 371, 856, 27, 13 ], [ 402, 856, 11, 13 ], [ 78, 872, 44, 13 ], [ 125, 872, 23, 13 ], [ 151, 872, 7, 13 ], [ 161, 872, 56, 13 ], [ 220, 872, 22, 13 ], [ 245, 872, 22, 13 ], [ 271, 872, 13, 13 ], [ 285, 872, 8, 13 ], [ 296, 872, 33, 13 ], [ 332, 872, 47, 13 ], [ 382, 872, 31, 13 ], [ 78, 888, 39, 13 ], [ 121, 888, 19, 13 ], [ 143, 888, 18, 13 ], [ 164, 888, 47, 13 ], [ 213, 888, 30, 13 ], [ 247, 888, 28, 13 ], [ 278, 888, 44, 13 ], [ 325, 888, 27, 13 ], [ 356, 888, 58, 13 ], [ 78, 905, 18, 13 ], [ 99, 905, 28, 13 ], [ 131, 905, 26, 13 ], [ 162, 905, 35, 13 ], [ 202, 905, 24, 13 ], [ 230, 905, 22, 13 ], [ 257, 905, 25, 13 ], [ 287, 905, 34, 13 ], [ 325, 905, 66, 13 ], [ 396, 905, 18, 13 ], [ 78, 921, 18, 13 ], [ 102, 921, 52, 13 ], [ 160, 921, 11, 13 ], [ 176, 921, 18, 13 ], [ 200, 921, 26, 13 ], [ 231, 921, 22, 13 ], [ 259, 921, 41, 13 ], [ 306, 921, 35, 13 ], [ 346, 921, 44, 13 ], [ 396, 921, 18, 13 ], [ 78, 937, 58, 13 ], [ 139, 937, 11, 13 ], [ 153, 937, 7, 13 ], [ 163, 937, 21, 13 ], [ 187, 937, 11, 13 ], [ 201, 937, 23, 13 ], [ 226, 937, 26, 13 ], [ 256, 937, 19, 13 ], [ 277, 937, 32, 13 ], [ 78, 970, 15, 13 ], [ 98, 970, 73, 13 ], [ 175, 970, 30, 13 ], [ 208, 970, 11, 13 ], [ 223, 970, 30, 13 ], [ 256, 970, 44, 13 ], [ 304, 970, 48, 13 ], [ 356, 970, 11, 13 ], [ 371, 970, 28, 13 ], [ 404, 970, 10, 13 ], [ 78, 986, 18, 13 ], [ 101, 986, 26, 13 ], [ 132, 986, 60, 13 ], [ 197, 986, 30, 13 ], [ 232, 986, 21, 13 ], [ 258, 986, 30, 13 ], [ 293, 986, 16, 13 ], [ 315, 986, 31, 13 ], [ 351, 986, 21, 13 ], [ 377, 986, 36, 13 ], [ 436, 692, 27, 13 ], [ 467, 692, 11, 13 ], [ 482, 692, 44, 13 ], [ 529, 692, 18, 13 ], [ 550, 692, 18, 13 ], [ 573, 692, 61, 13 ], [ 637, 692, 21, 13 ], [ 661, 692, 37, 13 ], [ 702, 692, 23, 13 ], [ 728, 692, 44, 13 ], [ 436, 709, 21, 13 ], [ 463, 709, 28, 13 ], [ 495, 709, 28, 13 ], [ 528, 709, 60, 13 ], [ 593, 709, 31, 13 ], [ 629, 709, 11, 13 ], [ 645, 709, 32, 13 ], [ 682, 709, 26, 13 ], [ 712, 709, 10, 13 ], [ 727, 709, 18, 13 ], [ 750, 709, 22, 13 ], [ 436, 725, 25, 13 ], [ 465, 725, 23, 13 ], [ 491, 725, 45, 13 ], [ 538, 725, 28, 13 ], [ 569, 725, 66, 13 ], [ 638, 725, 60, 13 ], [ 701, 725, 18, 13 ], [ 721, 725, 22, 13 ], [ 746, 725, 25, 13 ], [ 436, 741, 21, 13 ], [ 466, 741, 30, 13 ], [ 505, 741, 78, 13 ], [ 592, 741, 64, 13 ], [ 665, 741, 51, 13 ], [ 725, 741, 20, 13 ], [ 754, 741, 18, 13 ], [ 436, 758, 63, 13 ], [ 503, 758, 43, 13 ], [ 549, 758, 22, 13 ], [ 575, 758, 18, 13 ], [ 596, 758, 9, 13 ], [ 607, 758, 18, 13 ], [ 628, 758, 22, 13 ], [ 653, 758, 8, 13 ], [ 665, 758, 7, 13 ], [ 675, 758, 29, 13 ], [ 707, 758, 21, 13 ], [ 731, 758, 9, 13 ], [ 744, 758, 28, 13 ], [ 436, 774, 41, 13 ], [ 481, 774, 11, 13 ], [ 495, 774, 21, 13 ], [ 520, 774, 55, 13 ], [ 578, 774, 10, 13 ], [ 591, 774, 34, 13 ], [ 628, 774, 39, 13 ], [ 670, 774, 29, 13 ], [ 703, 774, 69, 13 ], [ 436, 790, 28, 13 ], [ 470, 790, 66, 13 ], [ 542, 790, 27, 13 ], [ 575, 790, 18, 13 ], [ 599, 790, 52, 13 ], [ 656, 790, 11, 13 ], [ 673, 790, 18, 13 ], [ 697, 790, 25, 13 ], [ 728, 790, 27, 13 ], [ 761, 790, 11, 13 ], [ 436, 807, 44, 13 ], [ 486, 807, 47, 13 ], [ 539, 807, 14, 13 ], [ 559, 807, 44, 13 ], [ 608, 807, 36, 13 ], [ 650, 807, 8, 13 ], [ 661, 807, 26, 13 ], [ 693, 807, 25, 13 ], [ 724, 807, 22, 13 ], [ 751, 807, 20, 13 ], [ 436, 823, 41, 13 ], [ 436, 856, 9, 13 ], [ 450, 856, 35, 13 ], [ 489, 856, 73, 13 ], [ 566, 856, 30, 13 ], [ 600, 856, 11, 13 ], [ 616, 856, 60, 13 ], [ 680, 856, 45, 13 ], [ 729, 856, 10, 13 ], [ 744, 856, 28, 13 ], [ 436, 872, 22, 13 ], [ 464, 872, 57, 13 ], [ 525, 872, 37, 13 ], [ 567, 872, 48, 13 ], [ 620, 872, 40, 13 ], [ 664, 872, 19, 13 ], [ 688, 872, 26, 13 ], [ 719, 872, 27, 13 ], [ 751, 872, 21, 13 ], [ 436, 888, 34, 13 ], [ 475, 888, 15, 13 ], [ 494, 888, 7, 13 ], [ 505, 888, 51, 13 ], [ 560, 888, 11, 13 ], [ 575, 888, 15, 13 ], [ 593, 888, 26, 13 ], [ 623, 888, 14, 13 ], [ 641, 888, 30, 13 ], [ 676, 888, 44, 13 ], [ 724, 888, 48, 13 ], [ 436, 905, 11, 13 ], [ 453, 905, 18, 13 ], [ 476, 905, 22, 13 ], [ 503, 905, 35, 13 ], [ 544, 905, 7, 13 ], [ 556, 905, 40, 13 ], [ 602, 905, 35, 13 ], [ 642, 905, 10, 13 ], [ 657, 905, 20, 13 ], [ 683, 905, 33, 13 ], [ 721, 905, 14, 13 ], [ 741, 905, 30, 13 ], [ 436, 921, 44, 13 ], [ 484, 921, 27, 13 ], [ 515, 921, 47, 13 ], [ 566, 921, 7, 13 ], [ 576, 921, 30, 13 ], [ 610, 921, 11, 13 ], [ 625, 921, 18, 13 ], [ 646, 921, 28, 13 ], [ 678, 921, 26, 13 ], [ 708, 921, 29, 13 ], [ 740, 921, 10, 13 ], [ 754, 921, 18, 13 ], [ 436, 937, 22, 13 ], [ 462, 937, 21, 13 ], [ 487, 937, 37, 13 ], [ 528, 937, 11, 13 ], [ 543, 937, 44, 13 ], [ 590, 937, 27, 13 ], [ 621, 937, 58, 13 ], [ 683, 937, 35, 13 ], [ 722, 937, 18, 13 ], [ 743, 937, 28, 13 ], [ 436, 954, 22, 13 ], [ 462, 954, 38, 13 ], [ 504, 954, 15, 13 ], [ 523, 954, 14, 13 ], [ 541, 954, 35, 13 ], [ 580, 954, 60, 13 ], [ 644, 954, 21, 13 ], [ 670, 954, 11, 13 ], [ 684, 954, 27, 13 ], [ 715, 954, 35, 13 ], [ 754, 954, 18, 13 ], [ 436, 970, 39, 13 ], [ 481, 970, 30, 13 ], [ 517, 970, 38, 13 ], [ 561, 970, 21, 13 ], [ 587, 970, 30, 13 ], [ 624, 970, 78, 13 ], [ 707, 970, 64, 13 ], [ 436, 986, 25, 13 ], [ 464, 986, 22, 13 ], [ 490, 986, 18, 13 ], [ 511, 986, 25, 13 ], [ 38, 1021, 21, 12 ], [ 78, 1020, 23, 12 ], [ 104, 1020, 8, 12 ], [ 114, 1020, 68, 12 ], [ 185, 1020, 19, 12 ], [ 206, 1020, 8, 12 ], [ 217, 1020, 42, 12 ], [ 261, 1020, 21, 12 ], [ 285, 1020, 21, 12 ], [ 308, 1020, 24, 12 ], [ 334, 1020, 8, 12 ], [ 345, 1020, 16, 12 ], [ 363, 1020, 27, 12 ], [ 393, 1020, 20, 12 ], [ 415, 1020, 40, 12 ], [ 458, 1020, 8, 12 ], [ 469, 1020, 59, 12 ], [ 530, 1020, 32, 12 ], [ 565, 1020, 67, 12 ] ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 13, 13, 13, 13, 13, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 0, 0, 0, 0, 0, 0, 0, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 17, 17, 17, 17, 17, 17, 17, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
2958869
[ "Kruse", "et", "al.", "Head", "&", "Neck", "Oncology", "2010,", "2:24", "http://www.headandneckoncology.org/content/2/1/24", "R", "E", "S", "E", "A", "R", "C", "H", "Open", "Access", "Oral", "squamous", "cell", "carcinoma", "in", "non-smoking", "and", "non-drinking", "patients", "Astrid", "L", "Kruse*,", "Marius", "Bredell,", "Klaus", "W", "Grätz", "Abstract", "Introduction:", "Of", "the", "many", "different", "factors", "associated", "with", "an", "increased", "risk", "for", "oral", "squamous", "cell", "carcinoma", "(SCC),", "tobacco", "and", "alcohol", "seem", "to", "be", "the", "most", "studied.", "The", "aim", "of", "the", "current", "study", "was", "to", "evaluate", "the", "clinicopathologic", "characteristics", "of", "patients", "without", "the", "mentioned", "risk", "factors.", "Patients", "and", "Methods:", "Out", "of", "278", "patients", "(159", "male", "and", "119", "female", "patients)", "with", "oral", "SCC,", "67", "patients", "had", "no", "history", "of", "tobacco", "or", "alcohol", "use.", "The", "minimum", "follow-up", "time", "was", "12", "months.", "Results:", "Of", "the", "67", "patients,", "45", "(67.2%)", "were", "women,", "and", "the", "mean", "age", "was", "70", "years.", "The", "most", "common", "tumor", "sites", "were", "mandibular", "alveolar", "ridge", "(22)", "and", "maxilla", "(18).", "Fifteen", "patients", "experienced", "a", "recurrence,", "and", "10", "developed", "lymph", "node", "metastases", "during", "the", "follow-up", "period.", "Conclusion:", "The", "group", "of", "patients", "with", "no", "tobacco", "and", "alcohol", "use", "tends", "toward", "a", "higher", "proportion", "of", "females,", "a", "higher", "proportion", "of", "patients", "over", "70", "years,", "and", "a", "higher", "number", "of", "oral", "maxillary", "SCC.", "Introduction", "Of", "the", "many", "different", "factors", "associated", "with", "an", "increased", "risk", "for", "oral", "squamous", "cell", "carcinoma", "(SCC),", "tobacco", "and", "alcohol", "seem", "to", "be", "the", "most", "studied.", "Indi-", "viduals", "who", "smoke", "more", "than", "20", "cigarettes", "a", "day", "and", "consume", "more", "than", "100", "g", "of", "alcohol", "a", "day", "are", "at", "increased", "risk", "for", "oral", "epithelial", "dysplasia,", "but", "ex-smo-", "kers", "of", "10", "or", "more", "years", "seem", "to", "have", "no", "greater", "risk", "than", "non-smokers", "[1].", "In", "addition,", "alcohol", "has", "been", "found", "to", "be", "an", "independent", "risk", "factor", "for", "oral", "SCC", "among", "non-smokers", "[2]", "and", "tobacco", "smoke", "in", "non-", "drinkers", "[3,4].", "The", "combination", "of", "both", "factors", "seems", "to", "enhance", "the", "carcinogenic", "effect", "[5,6].", "Blot", "et", "al.", "(1988)", "[6]", "stated", "that", "tobacco", "smoking", "and", "alcohol", "drinking", "combine", "to", "account", "for", "approximately", "three-fourths", "of", "all", "oral", "and", "pharyngeal", "cancers", "in", "the", "United", "States.", "However,", "the", "other", "fourth", "of", "patients", "are", "then", "of", "special", "interest,", "because", "this", "group", "has", "rarely", "been", "studied.", "Regarding", "lung", "cancer", "in", "patients", "without", "tobacco", "use,", "some", "authors", "have", "stated", "that", "these", "cancers", "are", "their", "own", "entity", "due", "to", "their", "special", "characteristics.", "Therefore,", "the", "aim", "of", "the", "current", "study", "was", "to", "evalu-", "ate", "the", "clinicopathologic", "characteristics", "of", "the", "patient", "*", "Correspondence:", "astridkruse@gmx.ch", "University", "Hospital", "Zurich,", "Department", "of", "Craniomaxillofacial", "and", "Oral", "Surgery,", "Zurich/Switzerland", "group", "without", "the", "tobacco", "and", "alcohol", "risk", "factors,", "in", "particular", "concerning", "gender,", "location,", "TN", "status,", "and", "rates", "of", "metastases", "or", "recurrence.", "Patients", "and", "Methods", "The", "files", "of", "278", "patients", "(159", "male", "and", "119", "female", "patients)", "with", "newly", "diagnosed,", "previously", "untreated", "oral", "SCC", "and", "who", "were", "treated", "between", "1999", "and", "2008,", "with", "a", "minimum", "follow-up", "time", "of", "12", "months,", "were", "searched", "for", "patients", "without", "the", "risk", "factors", "of", "tobacco", "or", "alcohol", "use.", "Out", "of", "these", "67", "patients,", "tumor", "data–", "including", "site,", "grade,", "TN", "status,", "recurrence,", "and", "metas-", "tases–were", "obtained", "from", "a", "review", "of", "the", "medical", "records.", "Results", "In", "sum,", "22", "male", "and", "45", "female", "patients", "were", "without", "the", "tobacco", "or", "alcohol", "risk", "factors.", "Of", "these", "67", "patients,", "43", "(64.2%)", "patients", "were", "over", "70", "years", "and", "only", "3", "(6%)", "below", "the", "age", "of", "40.", "The", "mean", "age", "was", "70", "years", "(Fig.", "1).", "The", "most", "common", "tumor", "sites", "were", "the", "mandibular", "alveolar", "ridge", "(22", "patients)", "and", "the", "maxilla", "(18", "patients).", "The", "most", "frequent", "sites", "in", "female", "patients", "were", "oral", "maxillary", "SCC", "(15/67),", "followed", "by", "the", "mandibular", "alveolar", "ridge", "(16/67)", "(Fig.", "2).", "©", "2010", "Kruse", "et", "al;", "licensee", "BioMed", "Central", "Ltd.", "This", "is", "an", "Open", "Access", "article", "distributed", "under", "the", "terms", "of", "the", "Creative", "Commons", "Attribution", "License", "(http://creativecommons.org/licenses/by/2.0),", "which", "permits", "unrestricted", "use,", "distribution,", "and", "reproduction", "in", "any", "medium,", "provided", "the", "original", "work", "is", "properly", "cited." ]
[ [ 78, 47, 26, 12 ], [ 107, 47, 9, 12 ], [ 119, 47, 11, 12 ], [ 133, 47, 24, 12 ], [ 160, 47, 7, 12 ], [ 171, 47, 22, 12 ], [ 196, 47, 43, 12 ], [ 242, 47, 25, 12 ], [ 270, 47, 20, 12 ], [ 78, 61, 252, 12 ], [ 83, 128, 11, 18 ], [ 96, 128, 10, 18 ], [ 107, 128, 10, 18 ], [ 119, 128, 10, 18 ], [ 130, 128, 12, 18 ], [ 144, 128, 11, 18 ], [ 156, 128, 11, 18 ], [ 169, 128, 13, 18 ], [ 641, 128, 44, 18 ], [ 691, 128, 53, 18 ], [ 78, 169, 55, 34 ], [ 143, 169, 136, 34 ], [ 289, 169, 45, 34 ], [ 344, 169, 137, 34 ], [ 491, 169, 25, 34 ], [ 526, 169, 175, 34 ], [ 78, 205, 51, 34 ], [ 139, 205, 171, 34 ], [ 320, 205, 106, 34 ], [ 78, 252, 34, 16 ], [ 116, 252, 7, 16 ], [ 128, 249, 38, 18 ], [ 170, 252, 38, 16 ], [ 213, 252, 42, 16 ], [ 259, 252, 30, 16 ], [ 293, 252, 12, 16 ], [ 310, 252, 30, 16 ], [ 87, 306, 54, 15 ], [ 87, 331, 78, 14 ], [ 170, 331, 13, 14 ], [ 187, 331, 19, 14 ], [ 210, 331, 31, 14 ], [ 245, 331, 47, 14 ], [ 297, 331, 37, 14 ], [ 338, 331, 58, 14 ], [ 400, 331, 25, 14 ], [ 429, 331, 14, 14 ], [ 447, 331, 53, 14 ], [ 504, 331, 18, 14 ], [ 526, 331, 15, 14 ], [ 546, 331, 21, 14 ], [ 571, 331, 57, 14 ], [ 632, 331, 19, 14 ], [ 655, 331, 58, 14 ], [ 87, 348, 32, 14 ], [ 123, 348, 45, 14 ], [ 173, 348, 22, 14 ], [ 198, 348, 41, 14 ], [ 243, 348, 30, 14 ], [ 277, 348, 12, 14 ], [ 294, 348, 15, 14 ], [ 312, 348, 19, 14 ], [ 335, 348, 28, 14 ], [ 368, 348, 44, 14 ], [ 416, 348, 21, 14 ], [ 440, 348, 21, 14 ], [ 465, 348, 11, 14 ], [ 481, 348, 19, 14 ], [ 504, 348, 40, 14 ], [ 548, 348, 30, 14 ], [ 583, 348, 22, 14 ], [ 609, 348, 12, 14 ], [ 625, 348, 47, 14 ], [ 676, 348, 19, 14 ], [ 87, 365, 95, 14 ], [ 187, 365, 77, 14 ], [ 268, 365, 11, 14 ], [ 284, 365, 44, 14 ], [ 333, 365, 44, 14 ], [ 380, 365, 19, 14 ], [ 403, 365, 62, 14 ], [ 469, 365, 18, 14 ], [ 491, 365, 39, 14 ], [ 87, 385, 49, 14 ], [ 140, 385, 23, 14 ], [ 167, 385, 56, 14 ], [ 228, 385, 21, 14 ], [ 253, 385, 11, 14 ], [ 269, 385, 20, 14 ], [ 293, 385, 44, 14 ], [ 342, 385, 24, 14 ], [ 370, 385, 27, 14 ], [ 402, 385, 21, 14 ], [ 427, 385, 20, 14 ], [ 452, 385, 38, 14 ], [ 494, 385, 48, 14 ], [ 546, 385, 25, 14 ], [ 575, 385, 21, 14 ], [ 600, 385, 25, 14 ], [ 629, 385, 14, 14 ], [ 647, 385, 44, 14 ], [ 695, 385, 21, 14 ], [ 721, 385, 15, 14 ], [ 87, 402, 37, 14 ], [ 129, 402, 11, 14 ], [ 144, 402, 45, 14 ], [ 194, 402, 12, 14 ], [ 210, 402, 40, 14 ], [ 255, 402, 22, 14 ], [ 280, 402, 21, 14 ], [ 305, 402, 55, 14 ], [ 364, 402, 53, 14 ], [ 422, 402, 25, 14 ], [ 451, 402, 22, 14 ], [ 477, 402, 14, 14 ], [ 495, 402, 45, 14 ], [ 87, 423, 46, 14 ], [ 137, 423, 13, 14 ], [ 155, 423, 19, 14 ], [ 178, 423, 14, 14 ], [ 196, 423, 47, 14 ], [ 247, 423, 14, 14 ], [ 265, 423, 40, 14 ], [ 309, 423, 28, 14 ], [ 341, 423, 45, 14 ], [ 390, 423, 22, 14 ], [ 416, 423, 19, 14 ], [ 439, 423, 32, 14 ], [ 475, 423, 21, 14 ], [ 500, 423, 22, 14 ], [ 526, 423, 14, 14 ], [ 543, 423, 31, 14 ], [ 578, 423, 21, 14 ], [ 603, 423, 28, 14 ], [ 636, 423, 51, 14 ], [ 691, 423, 35, 14 ], [ 87, 439, 24, 14 ], [ 116, 439, 28, 14 ], [ 148, 439, 64, 14 ], [ 215, 439, 43, 14 ], [ 262, 439, 29, 14 ], [ 296, 439, 21, 14 ], [ 321, 439, 22, 14 ], [ 346, 439, 39, 14 ], [ 389, 439, 23, 14 ], [ 417, 439, 38, 14 ], [ 459, 439, 44, 14 ], [ 508, 439, 68, 14 ], [ 580, 439, 7, 14 ], [ 591, 439, 61, 14 ], [ 657, 439, 21, 14 ], [ 682, 439, 14, 14 ], [ 87, 456, 59, 14 ], [ 151, 456, 35, 14 ], [ 190, 456, 29, 14 ], [ 224, 456, 61, 14 ], [ 289, 456, 37, 14 ], [ 330, 456, 19, 14 ], [ 353, 456, 53, 14 ], [ 410, 456, 39, 14 ], [ 87, 476, 70, 14 ], [ 161, 476, 21, 14 ], [ 186, 476, 34, 14 ], [ 224, 476, 11, 14 ], [ 240, 476, 45, 14 ], [ 289, 476, 25, 14 ], [ 318, 476, 15, 14 ], [ 337, 476, 45, 14 ], [ 386, 476, 21, 14 ], [ 412, 476, 41, 14 ], [ 457, 476, 19, 14 ], [ 480, 476, 31, 14 ], [ 516, 476, 40, 14 ], [ 560, 476, 7, 14 ], [ 570, 476, 36, 14 ], [ 611, 476, 60, 14 ], [ 675, 476, 11, 14 ], [ 691, 476, 45, 14 ], [ 87, 493, 7, 14 ], [ 98, 493, 36, 14 ], [ 139, 493, 60, 14 ], [ 203, 493, 11, 14 ], [ 218, 493, 45, 14 ], [ 267, 493, 25, 14 ], [ 296, 493, 14, 14 ], [ 314, 493, 31, 14 ], [ 349, 493, 22, 14 ], [ 374, 493, 7, 14 ], [ 385, 493, 36, 14 ], [ 426, 493, 45, 14 ], [ 474, 493, 11, 14 ], [ 490, 493, 21, 14 ], [ 515, 493, 49, 14 ], [ 568, 493, 25, 14 ], [ 78, 539, 80, 15 ], [ 78, 556, 16, 14 ], [ 102, 556, 20, 14 ], [ 129, 556, 34, 14 ], [ 171, 556, 54, 14 ], [ 232, 556, 42, 14 ], [ 282, 556, 64, 14 ], [ 354, 556, 27, 14 ], [ 389, 556, 15, 14 ], [ 78, 573, 55, 14 ], [ 137, 573, 22, 14 ], [ 164, 573, 17, 14 ], [ 185, 573, 23, 14 ], [ 212, 573, 59, 14 ], [ 275, 573, 20, 14 ], [ 300, 573, 61, 14 ], [ 365, 573, 38, 14 ], [ 78, 590, 45, 14 ], [ 128, 590, 22, 14 ], [ 154, 590, 42, 14 ], [ 200, 590, 30, 14 ], [ 234, 590, 12, 14 ], [ 250, 590, 14, 14 ], [ 269, 590, 19, 14 ], [ 292, 590, 29, 14 ], [ 325, 590, 45, 14 ], [ 375, 590, 29, 14 ], [ 78, 606, 42, 14 ], [ 125, 606, 25, 14 ], [ 154, 606, 38, 14 ], [ 197, 606, 31, 14 ], [ 233, 606, 27, 14 ], [ 265, 606, 14, 14 ], [ 284, 606, 57, 14 ], [ 345, 606, 7, 14 ], [ 356, 606, 21, 14 ], [ 382, 606, 22, 14 ], [ 78, 623, 55, 14 ], [ 140, 623, 32, 14 ], [ 179, 623, 28, 14 ], [ 213, 623, 22, 14 ], [ 241, 623, 7, 14 ], [ 255, 623, 12, 14 ], [ 274, 623, 45, 14 ], [ 325, 623, 7, 14 ], [ 339, 623, 21, 14 ], [ 366, 623, 19, 14 ], [ 392, 623, 11, 14 ], [ 78, 639, 55, 14 ], [ 138, 639, 22, 14 ], [ 164, 639, 17, 14 ], [ 186, 639, 23, 14 ], [ 213, 639, 54, 14 ], [ 271, 639, 56, 14 ], [ 331, 639, 20, 14 ], [ 356, 639, 48, 14 ], [ 78, 656, 25, 14 ], [ 108, 656, 12, 14 ], [ 124, 656, 14, 14 ], [ 143, 656, 13, 14 ], [ 161, 656, 31, 14 ], [ 196, 656, 30, 14 ], [ 231, 656, 30, 14 ], [ 266, 656, 12, 14 ], [ 283, 656, 27, 14 ], [ 315, 656, 15, 14 ], [ 335, 656, 42, 14 ], [ 382, 656, 22, 14 ], [ 78, 672, 27, 14 ], [ 111, 672, 80, 14 ], [ 196, 672, 21, 14 ], [ 222, 672, 13, 14 ], [ 240, 672, 54, 14 ], [ 299, 672, 45, 14 ], [ 349, 672, 20, 14 ], [ 375, 672, 29, 14 ], [ 78, 689, 36, 14 ], [ 119, 689, 12, 14 ], [ 136, 689, 14, 14 ], [ 156, 689, 15, 14 ], [ 175, 689, 76, 14 ], [ 256, 689, 23, 14 ], [ 284, 689, 36, 14 ], [ 325, 689, 18, 14 ], [ 348, 689, 24, 14 ], [ 377, 689, 27, 14 ], [ 78, 706, 41, 14 ], [ 125, 706, 80, 14 ], [ 210, 706, 17, 14 ], [ 232, 706, 22, 14 ], [ 260, 706, 48, 14 ], [ 313, 706, 39, 14 ], [ 357, 706, 12, 14 ], [ 374, 706, 29, 14 ], [ 78, 722, 47, 14 ], [ 129, 722, 29, 14 ], [ 162, 722, 23, 14 ], [ 189, 722, 71, 14 ], [ 265, 722, 11, 14 ], [ 280, 722, 26, 14 ], [ 311, 722, 38, 14 ], [ 353, 722, 34, 14 ], [ 392, 722, 12, 14 ], [ 78, 739, 48, 14 ], [ 131, 739, 19, 14 ], [ 154, 739, 74, 14 ], [ 233, 739, 32, 14 ], [ 269, 739, 30, 14 ], [ 304, 739, 24, 14 ], [ 332, 739, 11, 14 ], [ 348, 739, 14, 14 ], [ 366, 739, 37, 14 ], [ 78, 755, 17, 14 ], [ 100, 755, 36, 14 ], [ 141, 755, 24, 14 ], [ 170, 755, 47, 14 ], [ 221, 755, 51, 14 ], [ 277, 755, 22, 14 ], [ 304, 755, 44, 14 ], [ 353, 755, 51, 14 ], [ 78, 772, 50, 14 ], [ 133, 772, 12, 14 ], [ 150, 772, 46, 14 ], [ 200, 772, 17, 14 ], [ 222, 772, 83, 14 ], [ 310, 772, 77, 14 ], [ 392, 772, 12, 14 ], [ 78, 789, 15, 14 ], [ 98, 789, 24, 14 ], [ 127, 789, 22, 14 ], [ 154, 789, 66, 14 ], [ 225, 789, 46, 14 ], [ 276, 789, 12, 14 ], [ 293, 789, 19, 14 ], [ 317, 789, 42, 14 ], [ 364, 789, 40, 14 ], [ 78, 805, 54, 14 ], [ 136, 805, 18, 14 ], [ 159, 805, 31, 14 ], [ 193, 805, 36, 14 ], [ 233, 805, 11, 14 ], [ 249, 805, 45, 14 ], [ 298, 805, 18, 14 ], [ 320, 805, 26, 14 ], [ 350, 805, 11, 14 ], [ 365, 805, 38, 14 ], [ 78, 822, 50, 14 ], [ 133, 822, 48, 14 ], [ 186, 822, 23, 14 ], [ 214, 822, 36, 14 ], [ 255, 822, 20, 14 ], [ 281, 822, 35, 14 ], [ 321, 822, 29, 14 ], [ 355, 822, 48, 14 ], [ 78, 839, 59, 14 ], [ 141, 839, 26, 14 ], [ 172, 839, 38, 14 ], [ 215, 839, 12, 14 ], [ 231, 839, 46, 14 ], [ 281, 839, 45, 14 ], [ 331, 839, 45, 14 ], [ 381, 839, 23, 14 ], [ 78, 855, 31, 14 ], [ 114, 855, 45, 14 ], [ 165, 855, 27, 14 ], [ 197, 855, 36, 14 ], [ 237, 855, 24, 14 ], [ 266, 855, 31, 14 ], [ 302, 855, 45, 14 ], [ 352, 855, 19, 14 ], [ 375, 855, 28, 14 ], [ 78, 872, 25, 14 ], [ 107, 872, 32, 14 ], [ 143, 872, 21, 14 ], [ 168, 872, 12, 14 ], [ 184, 872, 27, 14 ], [ 215, 872, 38, 14 ], [ 257, 872, 84, 14 ], [ 89, 888, 61, 14 ], [ 155, 888, 19, 14 ], [ 177, 888, 22, 14 ], [ 204, 888, 12, 14 ], [ 220, 888, 19, 14 ], [ 243, 888, 43, 14 ], [ 290, 888, 31, 14 ], [ 326, 888, 22, 14 ], [ 352, 888, 12, 14 ], [ 368, 888, 35, 14 ], [ 78, 905, 18, 14 ], [ 101, 905, 19, 14 ], [ 124, 905, 102, 14 ], [ 231, 905, 86, 14 ], [ 321, 905, 12, 14 ], [ 338, 905, 19, 14 ], [ 362, 905, 42, 14 ], [ 78, 937, 5, 11 ], [ 86, 937, 70, 11 ], [ 159, 937, 82, 11 ], [ 78, 950, 41, 11 ], [ 122, 950, 34, 11 ], [ 159, 950, 28, 11 ], [ 190, 950, 51, 11 ], [ 244, 950, 9, 11 ], [ 256, 950, 78, 11 ], [ 336, 950, 16, 11 ], [ 356, 950, 17, 11 ], [ 78, 962, 34, 11 ], [ 115, 962, 78, 11 ], [ 423, 540, 35, 14 ], [ 462, 540, 46, 14 ], [ 513, 540, 19, 14 ], [ 536, 540, 46, 14 ], [ 587, 540, 22, 14 ], [ 614, 540, 43, 14 ], [ 661, 540, 22, 14 ], [ 688, 540, 43, 14 ], [ 736, 540, 12, 14 ], [ 423, 556, 57, 14 ], [ 485, 556, 66, 14 ], [ 555, 556, 44, 14 ], [ 604, 556, 51, 14 ], [ 659, 556, 20, 14 ], [ 684, 556, 38, 14 ], [ 726, 556, 22, 14 ], [ 423, 573, 27, 14 ], [ 454, 573, 11, 14 ], [ 470, 573, 60, 14 ], [ 534, 573, 13, 14 ], [ 551, 573, 64, 14 ], [ 423, 605, 52, 15 ], [ 479, 605, 25, 15 ], [ 508, 605, 56, 15 ], [ 423, 623, 24, 14 ], [ 453, 623, 25, 14 ], [ 484, 623, 12, 14 ], [ 501, 623, 22, 14 ], [ 529, 623, 50, 14 ], [ 584, 623, 27, 14 ], [ 617, 623, 30, 14 ], [ 651, 623, 23, 14 ], [ 680, 623, 22, 14 ], [ 707, 623, 41, 14 ], [ 423, 639, 53, 14 ], [ 481, 639, 27, 14 ], [ 513, 639, 35, 14 ], [ 553, 639, 64, 14 ], [ 622, 639, 62, 14 ], [ 690, 639, 58, 14 ], [ 423, 656, 22, 14 ], [ 449, 656, 26, 14 ], [ 479, 656, 21, 14 ], [ 505, 656, 24, 14 ], [ 533, 656, 27, 14 ], [ 565, 656, 40, 14 ], [ 609, 656, 47, 14 ], [ 660, 656, 28, 14 ], [ 692, 656, 21, 14 ], [ 717, 656, 31, 14 ], [ 423, 672, 27, 14 ], [ 455, 672, 7, 14 ], [ 466, 672, 60, 14 ], [ 531, 672, 59, 14 ], [ 595, 672, 27, 14 ], [ 628, 672, 12, 14 ], [ 645, 672, 15, 14 ], [ 665, 672, 49, 14 ], [ 719, 672, 29, 14 ], [ 423, 689, 50, 14 ], [ 477, 689, 17, 14 ], [ 498, 689, 45, 14 ], [ 548, 689, 45, 14 ], [ 596, 689, 18, 14 ], [ 619, 689, 21, 14 ], [ 645, 689, 39, 14 ], [ 688, 689, 11, 14 ], [ 703, 689, 45, 14 ], [ 423, 706, 13, 14 ], [ 441, 706, 43, 14 ], [ 489, 706, 23, 14 ], [ 517, 706, 24, 14 ], [ 545, 706, 12, 14 ], [ 562, 706, 31, 14 ], [ 597, 706, 14, 14 ], [ 617, 706, 51, 14 ], [ 672, 706, 37, 14 ], [ 714, 706, 34, 14 ], [ 423, 722, 54, 14 ], [ 481, 722, 23, 14 ], [ 509, 722, 35, 14 ], [ 548, 722, 20, 14 ], [ 572, 722, 37, 14 ], [ 614, 722, 65, 14 ], [ 683, 722, 22, 14 ], [ 709, 722, 39, 14 ], [ 423, 739, 69, 14 ], [ 498, 739, 54, 14 ], [ 558, 739, 30, 14 ], [ 595, 739, 7, 14 ], [ 608, 739, 40, 14 ], [ 655, 739, 12, 14 ], [ 674, 739, 20, 14 ], [ 700, 739, 48, 14 ], [ 423, 755, 45, 14 ], [ 423, 788, 46, 15 ], [ 423, 805, 13, 14 ], [ 440, 805, 29, 14 ], [ 474, 805, 14, 14 ], [ 493, 805, 29, 14 ], [ 526, 805, 22, 14 ], [ 553, 805, 15, 14 ], [ 572, 805, 39, 14 ], [ 616, 805, 47, 14 ], [ 669, 805, 28, 14 ], [ 702, 805, 46, 14 ], [ 423, 822, 18, 14 ], [ 445, 822, 45, 14 ], [ 494, 822, 13, 14 ], [ 511, 822, 42, 14 ], [ 557, 822, 21, 14 ], [ 582, 822, 42, 14 ], [ 628, 822, 15, 14 ], [ 647, 822, 30, 14 ], [ 681, 822, 14, 14 ], [ 700, 822, 48, 14 ], [ 423, 839, 14, 14 ], [ 441, 839, 43, 14 ], [ 489, 839, 46, 14 ], [ 540, 839, 28, 14 ], [ 572, 839, 25, 14 ], [ 602, 839, 14, 14 ], [ 620, 839, 30, 14 ], [ 655, 839, 22, 14 ], [ 681, 839, 25, 14 ], [ 710, 839, 7, 14 ], [ 722, 839, 26, 14 ], [ 423, 855, 34, 14 ], [ 460, 855, 18, 14 ], [ 483, 855, 19, 14 ], [ 506, 855, 11, 14 ], [ 521, 855, 17, 14 ], [ 543, 855, 23, 14 ], [ 569, 855, 31, 14 ], [ 605, 855, 19, 14 ], [ 628, 855, 21, 14 ], [ 653, 855, 14, 14 ], [ 671, 855, 29, 14 ], [ 705, 855, 25, 14 ], [ 733, 855, 15, 14 ], [ 434, 872, 24, 14 ], [ 462, 872, 29, 14 ], [ 496, 872, 52, 14 ], [ 553, 872, 37, 14 ], [ 594, 872, 26, 14 ], [ 625, 872, 28, 14 ], [ 657, 872, 19, 14 ], [ 680, 872, 68, 14 ], [ 423, 888, 44, 14 ], [ 471, 888, 29, 14 ], [ 504, 888, 18, 14 ], [ 527, 888, 49, 14 ], [ 580, 888, 21, 14 ], [ 605, 888, 18, 14 ], [ 628, 888, 41, 14 ], [ 673, 888, 18, 14 ], [ 696, 888, 52, 14 ], [ 423, 905, 24, 14 ], [ 452, 905, 30, 14 ], [ 487, 905, 51, 14 ], [ 543, 905, 27, 14 ], [ 575, 905, 12, 14 ], [ 592, 905, 40, 14 ], [ 637, 905, 48, 14 ], [ 691, 905, 29, 14 ], [ 724, 905, 24, 14 ], [ 423, 921, 58, 14 ], [ 486, 921, 27, 14 ], [ 519, 921, 49, 14 ], [ 573, 921, 53, 14 ], [ 632, 921, 14, 14 ], [ 652, 921, 20, 14 ], [ 677, 921, 71, 14 ], [ 423, 938, 44, 14 ], [ 471, 938, 29, 14 ], [ 504, 938, 41, 14 ], [ 549, 938, 25, 14 ], [ 578, 938, 15, 14 ], [ 248, 987, 7, 10 ], [ 256, 987, 18, 10 ], [ 277, 987, 21, 10 ], [ 300, 987, 8, 10 ], [ 310, 987, 8, 10 ], [ 320, 987, 30, 10 ], [ 353, 987, 29, 10 ], [ 384, 987, 27, 10 ], [ 414, 987, 14, 10 ], [ 430, 987, 15, 10 ], [ 447, 987, 6, 10 ], [ 456, 987, 9, 10 ], [ 467, 987, 21, 10 ], [ 491, 987, 25, 10 ], [ 519, 987, 23, 10 ], [ 544, 987, 41, 10 ], [ 587, 987, 23, 10 ], [ 612, 987, 13, 10 ], [ 627, 987, 22, 10 ], [ 651, 987, 8, 10 ], [ 661, 987, 13, 10 ], [ 676, 987, 31, 10 ], [ 709, 987, 39, 10 ], [ 248, 998, 41, 10 ], [ 291, 998, 28, 10 ], [ 322, 998, 171, 10 ], [ 496, 998, 23, 10 ], [ 522, 998, 29, 10 ], [ 553, 998, 45, 10 ], [ 601, 998, 15, 10 ], [ 618, 998, 45, 10 ], [ 666, 998, 15, 10 ], [ 683, 998, 49, 10 ], [ 736, 998, 7, 10 ], [ 248, 1009, 14, 10 ], [ 264, 1009, 34, 10 ], [ 300, 1009, 34, 10 ], [ 337, 1009, 13, 10 ], [ 352, 1009, 28, 10 ], [ 384, 1009, 19, 10 ], [ 405, 1009, 6, 10 ], [ 414, 1009, 32, 10 ], [ 448, 1009, 21, 10 ] ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 16, 16, 16, 16, 16, 16, 16, 16, 9, 9, 8, 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 6, 6, 6, 6, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9 ]
2443378
[ "BMC", "Neurology", "Research", "article", "Prediction", "of", "the", "survival", "and", "functional", "ability", "of", "severe", "stroke", "patients", "after", "ICU", "therapeutic", "intervention", "Moussa", "Riachy*1,", "Frida", "Sfeir1,", "Ghassan", "Sleilaty2,", "Samer", "Hage-Chahine†3,", "Georges", "Dabar1,", "Taha", "Bazerbachi1,", "Zeina", "Aoun-Bacha1,", "Georges", "Khayat1", "and", "Salam", "Koussa†3", "BioMed", "Central", "Open", "Access", "Address:", "1Department", "of", "Pulmonary", "and", "Critical", "Care", "Medicine,", "Hotel", "Dieu", "de", "France,", "Beirut,", "Lebanon,", "2Department", "of", "Cardiothoracic", "Surgery,", "Hotel", "Dieu", "de", "France,", "Beirut,", "Lebanon", "and", "3Department", "of", "Neurology,", "Hotel", "Dieu", "de", "France,", "Beirut,", "Lebanon", "Email:", "Moussa", "Riachy*", "-", "riachy@dm.net.lb;", "Frida", "Sfeir", "-", "fridasfeir@hotmail.com;", "Ghassan", "Sleilaty", "-", "sanasl@inco.com.lb;", "Samer", "Hage-", "Chahine", "-", "samerhagechahine@hotmail.com;", "Georges", "Dabar", "-", "gdabar@cyberia.net.lb;", "Taha", "Bazerbachi", "-", "tbazarbachi@hotmail.com;", "Zeina", "Aoun-Bacha", "-", "zeinaabacha@yahoo.com;", "Georges", "Khayat", "-", "gck@data2.dm.net.lb;", "Salam", "Koussa", "-", "koussalam@hotmail.com", "*", "Corresponding", "author", "†Equal", "contributors", "Published:", "26", "June", "2008", "BMC", "Neurology", "2008,", "8:24", "doi:10.1186/1471-2377-8-24", "This", "article", "is", "available", "from:", "http://www.biomedcentral.com/1471-2377/8/24", "Received:", "16", "December", "2007", "Accepted:", "26", "June", "2008", "©", "2008", "Riachy", "et", "al;", "licensee", "BioMed", "Central", "Ltd.", "This", "is", "an", "Open", "Access", "article", "distributed", "under", "the", "terms", "of", "the", "Creative", "Commons", "Attribution", "License", "(http://creativecommons.org/licenses/by/2.0),", "which", "permits", "unrestricted", "use,", "distribution,", "and", "reproduction", "in", "any", "medium,", "provided", "the", "original", "work", "is", "properly", "cited.", "Abstract", "Background:", "This", "study", "evaluated", "the", "benefits", "and", "impact", "of", "ICU", "therapeutic", "interventions", "on", "the", "survival", "and", "functional", "ability", "of", "severe", "cerebrovascular", "accident", "(CVA)", "patients.", "Methods:", "Sixty-two", "ICU", "patients", "suffering", "from", "severe", "ischemic/haemorrhagic", "stroke", "were", "evaluated", "for", "CVA", "severity", "using", "APACHE", "II", "and", "the", "Glasgow", "coma", "scale", "(GCS).", "Survival", "was", "determined", "using", "Kaplan-Meier", "survival", "tables", "and", "survival", "prediction", "factors", "were", "determined", "by", "Cox", "multivariate", "analysis.", "Functional", "ability", "was", "assessed", "using", "the", "stroke", "impact", "scale", "(SIS-16)", "and", "Karnofsky", "score.", "Risk", "factors,", "life", "support", "techniques", "and", "neurosurgical", "interventions", "were", "recorded.", "One", "year", "post-CVA", "dependency", "was", "investigated", "using", "multivariate", "analysis", "based", "on", "linear", "regression.", "Results:", "The", "study", "cohort", "constituted", "6%", "of", "all", "CVA", "(37.8%", "haemorrhagic/62.2%", "ischemic)", "admissions.", "Patient", "mean(SD)", "age", "was", "65.8(12.3)", "years", "with", "a", "1:1", "male:", "female", "ratio.", "During", "the", "study", "period", "16", "patients", "had", "died", "within", "the", "ICU", "and", "seven", "in", "the", "year", "following", "hospital", "release.", "The", "mean(SD)", "APACHE", "II", "score", "at", "hospital", "admission", "was", "14.9(6.0)", "and", "ICU", "mean", "duration", "of", "stay", "was", "11.2(15.4)", "days.", "Mechanical", "ventilation", "was", "required", "in", "37.1%", "of", "cases.", "Risk", "ratios", "were;", "GCS", "at", "admission", "0.8(0.14),", "(p", "=", "0.024),", "APACHE", "II", "1.11(0.11),", "(p", "=", "0.05)", "and", "duration", "of", "mechanical", "ventilation", "1.07(0.07),", "(p", "=", "0.046).", "Linear", "coefficients", "were:", "type", "of", "CVA", "–", "haemorrhagic", "versus", "ischemic:", "-18.95(4.58)", "(p", "=", "0.007),", "GCS", "at", "hospital", "admission:", "-6.83(1.08),", "(p", "=", "0.001),", "and", "duration", "of", "hospital", "stay", "-0.38(0.14),", "(p", "=", "0.40).", "Conclusion:", "To", "ensure", "a", "better", "prognosis", "CVA", "patients", "require", "ICU", "therapeutic", "interventions.", "However,", "as", "we", "have", "shown,", "where", "tests", "can", "determine", "the", "worst", "affected", "patients", "with", "a", "poor", "vital", "and", "functional", "outcome", "should", "treatment", "be", "withheld?", "Page", "1", "of", "8", "(page", "number", "not", "for", "citation", "purposes)" ]
[ [ 76, 47, 84, 34 ], [ 172, 47, 190, 34 ], [ 76, 118, 70, 20 ], [ 151, 118, 46, 20 ], [ 76, 143, 109, 23 ], [ 190, 143, 20, 23 ], [ 216, 143, 35, 23 ], [ 257, 143, 79, 23 ], [ 342, 143, 38, 23 ], [ 386, 143, 103, 23 ], [ 495, 143, 64, 23 ], [ 564, 143, 20, 23 ], [ 590, 143, 68, 23 ], [ 664, 143, 67, 23 ], [ 76, 168, 84, 23 ], [ 166, 168, 50, 23 ], [ 222, 168, 43, 23 ], [ 271, 168, 121, 23 ], [ 397, 168, 128, 23 ], [ 76, 193, 69, 21 ], [ 150, 193, 86, 22 ], [ 241, 193, 46, 21 ], [ 292, 193, 54, 22 ], [ 351, 193, 77, 21 ], [ 433, 193, 79, 22 ], [ 517, 193, 56, 21 ], [ 578, 193, 152, 22 ], [ 76, 218, 73, 21 ], [ 154, 218, 70, 22 ], [ 228, 218, 44, 21 ], [ 276, 218, 112, 22 ], [ 393, 218, 51, 21 ], [ 449, 218, 124, 22 ], [ 577, 218, 73, 21 ], [ 655, 218, 71, 22 ], [ 730, 218, 35, 21 ], [ 76, 243, 56, 21 ], [ 137, 243, 80, 22 ], [ 706, 60, 54, 14 ], [ 761, 60, 38, 14 ], [ 697, 118, 44, 17 ], [ 745, 118, 62, 17 ], [ 76, 293, 41, 12 ], [ 119, 293, 63, 12 ], [ 184, 293, 10, 12 ], [ 197, 293, 54, 12 ], [ 253, 293, 19, 12 ], [ 274, 293, 35, 12 ], [ 312, 293, 22, 12 ], [ 337, 293, 48, 12 ], [ 387, 293, 28, 12 ], [ 416, 293, 24, 12 ], [ 443, 293, 12, 12 ], [ 457, 293, 35, 12 ], [ 494, 293, 32, 12 ], [ 528, 293, 46, 12 ], [ 576, 293, 63, 12 ], [ 641, 293, 10, 12 ], [ 654, 293, 72, 12 ], [ 728, 293, 39, 12 ], [ 76, 306, 28, 11 ], [ 106, 306, 24, 11 ], [ 132, 306, 12, 11 ], [ 147, 306, 35, 11 ], [ 184, 306, 32, 11 ], [ 219, 306, 43, 11 ], [ 263, 306, 19, 11 ], [ 285, 306, 63, 12 ], [ 350, 306, 10, 11 ], [ 362, 306, 54, 11 ], [ 419, 306, 28, 11 ], [ 449, 306, 24, 11 ], [ 475, 306, 12, 11 ], [ 490, 306, 35, 11 ], [ 527, 306, 32, 11 ], [ 561, 306, 43, 11 ], [ 76, 326, 31, 12 ], [ 110, 326, 37, 12 ], [ 149, 326, 39, 12 ], [ 190, 326, 4, 12 ], [ 197, 326, 91, 12 ], [ 290, 326, 25, 12 ], [ 317, 326, 22, 12 ], [ 341, 326, 4, 12 ], [ 348, 326, 119, 12 ], [ 469, 326, 41, 12 ], [ 513, 326, 35, 12 ], [ 550, 326, 4, 12 ], [ 557, 326, 101, 12 ], [ 660, 326, 30, 12 ], [ 693, 326, 29, 12 ], [ 76, 339, 42, 11 ], [ 120, 339, 4, 11 ], [ 127, 339, 166, 11 ], [ 295, 339, 39, 11 ], [ 336, 339, 30, 11 ], [ 368, 339, 4, 11 ], [ 375, 339, 112, 11 ], [ 489, 339, 24, 11 ], [ 515, 339, 53, 11 ], [ 570, 339, 4, 11 ], [ 577, 339, 133, 11 ], [ 76, 352, 27, 12 ], [ 106, 352, 59, 12 ], [ 167, 352, 4, 12 ], [ 174, 352, 128, 12 ], [ 304, 352, 39, 12 ], [ 345, 352, 34, 12 ], [ 381, 352, 4, 12 ], [ 387, 352, 107, 12 ], [ 496, 352, 30, 12 ], [ 529, 352, 34, 12 ], [ 565, 352, 4, 12 ], [ 572, 352, 125, 12 ], [ 76, 369, 7, 11 ], [ 85, 369, 73, 11 ], [ 160, 369, 33, 11 ], [ 204, 369, 34, 11 ], [ 240, 369, 60, 11 ], [ 76, 427, 45, 11 ], [ 124, 427, 12, 11 ], [ 138, 427, 20, 11 ], [ 161, 427, 23, 11 ], [ 76, 447, 21, 12 ], [ 100, 447, 43, 12 ], [ 145, 447, 25, 12 ], [ 173, 447, 20, 12 ], [ 205, 447, 128, 12 ], [ 76, 467, 20, 12 ], [ 98, 467, 28, 12 ], [ 129, 467, 7, 12 ], [ 139, 467, 38, 12 ], [ 179, 467, 25, 12 ], [ 207, 467, 215, 12 ], [ 430, 427, 43, 11 ], [ 476, 427, 12, 11 ], [ 490, 427, 48, 11 ], [ 540, 427, 23, 11 ], [ 430, 440, 46, 12 ], [ 478, 440, 12, 12 ], [ 492, 440, 20, 12 ], [ 514, 440, 23, 12 ], [ 76, 487, 9, 12 ], [ 87, 487, 23, 12 ], [ 113, 487, 30, 12 ], [ 145, 487, 10, 12 ], [ 157, 487, 10, 12 ], [ 170, 487, 36, 12 ], [ 208, 487, 35, 12 ], [ 246, 487, 35, 12 ], [ 283, 487, 18, 12 ], [ 76, 500, 20, 12 ], [ 98, 500, 7, 12 ], [ 108, 500, 11, 12 ], [ 121, 500, 26, 12 ], [ 150, 500, 32, 12 ], [ 184, 500, 28, 12 ], [ 215, 500, 49, 12 ], [ 267, 500, 27, 12 ], [ 296, 500, 15, 12 ], [ 314, 500, 27, 12 ], [ 343, 500, 10, 12 ], [ 355, 500, 15, 12 ], [ 373, 500, 39, 12 ], [ 415, 500, 48, 12 ], [ 465, 500, 51, 12 ], [ 519, 500, 34, 12 ], [ 555, 500, 202, 12 ], [ 76, 513, 27, 12 ], [ 106, 513, 35, 12 ], [ 143, 513, 56, 12 ], [ 201, 513, 18, 12 ], [ 222, 513, 55, 12 ], [ 279, 513, 16, 12 ], [ 298, 513, 60, 12 ], [ 361, 513, 8, 12 ], [ 372, 513, 16, 12 ], [ 390, 513, 39, 12 ], [ 432, 513, 40, 12 ], [ 475, 513, 15, 12 ], [ 493, 513, 34, 12 ], [ 529, 513, 24, 12 ], [ 556, 513, 7, 12 ], [ 565, 513, 39, 12 ], [ 607, 513, 25, 12 ], [ 155, 573, 62, 15 ], [ 155, 594, 80, 14 ], [ 239, 594, 24, 14 ], [ 266, 594, 30, 14 ], [ 300, 594, 52, 14 ], [ 356, 594, 18, 14 ], [ 379, 594, 43, 14 ], [ 425, 594, 20, 14 ], [ 450, 594, 37, 14 ], [ 490, 594, 11, 14 ], [ 506, 594, 23, 14 ], [ 533, 594, 63, 14 ], [ 599, 594, 73, 14 ], [ 676, 594, 15, 14 ], [ 155, 610, 18, 14 ], [ 176, 610, 41, 14 ], [ 221, 610, 20, 14 ], [ 244, 610, 54, 14 ], [ 301, 610, 32, 14 ], [ 337, 610, 11, 14 ], [ 351, 610, 36, 14 ], [ 391, 610, 88, 14 ], [ 482, 610, 46, 14 ], [ 531, 610, 36, 14 ], [ 570, 610, 46, 14 ], [ 155, 634, 59, 14 ], [ 220, 634, 53, 14 ], [ 279, 634, 23, 14 ], [ 309, 634, 44, 14 ], [ 359, 634, 46, 14 ], [ 411, 634, 27, 14 ], [ 445, 634, 36, 14 ], [ 488, 634, 126, 14 ], [ 620, 634, 36, 14 ], [ 662, 634, 29, 14 ], [ 155, 650, 52, 14 ], [ 212, 650, 17, 14 ], [ 233, 650, 27, 14 ], [ 265, 650, 43, 14 ], [ 313, 650, 28, 14 ], [ 346, 650, 52, 14 ], [ 402, 650, 7, 14 ], [ 414, 650, 20, 14 ], [ 439, 650, 18, 14 ], [ 461, 650, 47, 14 ], [ 514, 650, 30, 14 ], [ 548, 650, 27, 14 ], [ 580, 650, 38, 14 ], [ 623, 650, 42, 14 ], [ 670, 650, 21, 14 ], [ 155, 666, 64, 14 ], [ 222, 666, 28, 14 ], [ 253, 666, 74, 14 ], [ 330, 666, 41, 14 ], [ 375, 666, 32, 14 ], [ 410, 666, 20, 14 ], [ 433, 666, 41, 14 ], [ 478, 666, 57, 14 ], [ 538, 666, 38, 14 ], [ 579, 666, 29, 14 ], [ 611, 666, 64, 14 ], [ 678, 666, 13, 14 ], [ 155, 683, 24, 14 ], [ 182, 683, 65, 14 ], [ 250, 683, 44, 14 ], [ 297, 683, 57, 14 ], [ 356, 683, 32, 14 ], [ 391, 683, 21, 14 ], [ 415, 683, 47, 14 ], [ 465, 683, 28, 14 ], [ 496, 683, 18, 14 ], [ 517, 683, 36, 14 ], [ 556, 683, 37, 14 ], [ 595, 683, 27, 14 ], [ 625, 683, 43, 14 ], [ 671, 683, 20, 14 ], [ 155, 699, 56, 14 ], [ 217, 699, 34, 14 ], [ 258, 699, 23, 14 ], [ 288, 699, 41, 14 ], [ 336, 699, 16, 14 ], [ 359, 699, 43, 14 ], [ 409, 699, 59, 14 ], [ 475, 699, 20, 14 ], [ 502, 699, 74, 14 ], [ 583, 699, 73, 14 ], [ 662, 699, 29, 14 ], [ 155, 715, 54, 14 ], [ 213, 715, 25, 14 ], [ 242, 715, 24, 14 ], [ 270, 715, 56, 14 ], [ 330, 715, 66, 14 ], [ 400, 715, 21, 14 ], [ 425, 715, 65, 14 ], [ 494, 715, 28, 14 ], [ 526, 715, 65, 14 ], [ 595, 715, 41, 14 ], [ 640, 715, 32, 14 ], [ 676, 715, 15, 14 ], [ 155, 732, 31, 14 ], [ 189, 732, 61, 14 ], [ 155, 755, 49, 14 ], [ 210, 755, 22, 14 ], [ 238, 755, 30, 14 ], [ 274, 755, 38, 14 ], [ 318, 755, 62, 14 ], [ 387, 755, 16, 14 ], [ 409, 755, 11, 14 ], [ 427, 755, 12, 14 ], [ 445, 755, 27, 14 ], [ 478, 755, 37, 14 ], [ 522, 755, 111, 14 ], [ 639, 755, 51, 14 ], [ 155, 771, 62, 14 ], [ 221, 771, 38, 14 ], [ 264, 771, 55, 14 ], [ 323, 771, 19, 14 ], [ 345, 771, 21, 14 ], [ 371, 771, 56, 14 ], [ 430, 771, 29, 14 ], [ 464, 771, 24, 14 ], [ 492, 771, 6, 14 ], [ 502, 771, 17, 14 ], [ 524, 771, 29, 14 ], [ 557, 771, 36, 14 ], [ 597, 771, 30, 14 ], [ 630, 771, 38, 14 ], [ 673, 771, 18, 14 ], [ 155, 788, 30, 14 ], [ 188, 788, 36, 14 ], [ 228, 788, 14, 14 ], [ 245, 788, 44, 14 ], [ 292, 788, 20, 14 ], [ 315, 788, 24, 14 ], [ 342, 788, 34, 14 ], [ 379, 788, 18, 14 ], [ 401, 788, 23, 14 ], [ 427, 788, 20, 14 ], [ 450, 788, 31, 14 ], [ 485, 788, 10, 14 ], [ 498, 788, 18, 14 ], [ 520, 788, 24, 14 ], [ 547, 788, 50, 14 ], [ 600, 788, 43, 14 ], [ 646, 788, 42, 14 ], [ 155, 811, 22, 14 ], [ 179, 811, 55, 14 ], [ 237, 811, 52, 14 ], [ 291, 811, 7, 14 ], [ 301, 811, 31, 14 ], [ 334, 811, 11, 14 ], [ 348, 811, 43, 14 ], [ 393, 811, 54, 14 ], [ 450, 811, 21, 14 ], [ 474, 811, 49, 14 ], [ 525, 811, 20, 14 ], [ 548, 811, 23, 14 ], [ 573, 811, 30, 14 ], [ 605, 811, 47, 14 ], [ 655, 811, 11, 14 ], [ 669, 811, 22, 14 ], [ 155, 827, 21, 14 ], [ 179, 827, 56, 14 ], [ 238, 827, 27, 14 ], [ 269, 827, 60, 14 ], [ 333, 827, 57, 14 ], [ 393, 827, 21, 14 ], [ 418, 827, 47, 14 ], [ 469, 827, 10, 14 ], [ 482, 827, 33, 14 ], [ 518, 827, 11, 14 ], [ 533, 827, 32, 14 ], [ 568, 827, 23, 14 ], [ 595, 827, 32, 14 ], [ 630, 827, 31, 14 ], [ 665, 827, 26, 14 ], [ 155, 844, 11, 14 ], [ 169, 844, 54, 14 ], [ 227, 844, 52, 14 ], [ 283, 844, 12, 14 ], [ 299, 844, 8, 14 ], [ 311, 844, 38, 14 ], [ 352, 844, 52, 14 ], [ 408, 844, 7, 14 ], [ 419, 844, 59, 14 ], [ 481, 844, 12, 14 ], [ 497, 844, 8, 14 ], [ 509, 844, 28, 14 ], [ 541, 844, 20, 14 ], [ 565, 844, 47, 14 ], [ 615, 844, 11, 14 ], [ 631, 844, 60, 14 ], [ 155, 860, 58, 14 ], [ 216, 860, 59, 14 ], [ 279, 860, 12, 14 ], [ 295, 860, 8, 14 ], [ 307, 860, 38, 14 ], [ 349, 860, 34, 14 ], [ 388, 860, 62, 14 ], [ 454, 860, 31, 14 ], [ 490, 860, 24, 14 ], [ 518, 860, 11, 14 ], [ 533, 860, 27, 14 ], [ 565, 860, 7, 14 ], [ 576, 860, 75, 14 ], [ 655, 860, 35, 14 ], [ 155, 876, 50, 14 ], [ 208, 876, 67, 14 ], [ 277, 876, 12, 14 ], [ 291, 876, 8, 14 ], [ 302, 876, 38, 14 ], [ 343, 876, 26, 14 ], [ 371, 876, 11, 14 ], [ 385, 876, 43, 14 ], [ 430, 876, 57, 14 ], [ 490, 876, 63, 14 ], [ 556, 876, 12, 14 ], [ 570, 876, 8, 14 ], [ 581, 876, 38, 14 ], [ 621, 876, 20, 14 ], [ 644, 876, 47, 14 ], [ 155, 893, 11, 14 ], [ 170, 893, 43, 14 ], [ 216, 893, 22, 14 ], [ 241, 893, 63, 14 ], [ 307, 893, 12, 14 ], [ 322, 893, 8, 14 ], [ 334, 893, 31, 14 ], [ 155, 916, 74, 14 ], [ 233, 916, 16, 14 ], [ 253, 916, 37, 14 ], [ 294, 916, 6, 14 ], [ 304, 916, 35, 14 ], [ 342, 916, 53, 14 ], [ 399, 916, 27, 14 ], [ 430, 916, 43, 14 ], [ 478, 916, 40, 14 ], [ 522, 916, 23, 14 ], [ 549, 916, 63, 14 ], [ 615, 916, 75, 14 ], [ 155, 932, 55, 14 ], [ 213, 932, 11, 14 ], [ 228, 932, 17, 14 ], [ 249, 932, 25, 14 ], [ 278, 932, 39, 14 ], [ 321, 932, 35, 14 ], [ 360, 932, 26, 14 ], [ 390, 932, 19, 14 ], [ 412, 932, 57, 14 ], [ 473, 932, 18, 14 ], [ 495, 932, 33, 14 ], [ 531, 932, 43, 14 ], [ 578, 932, 43, 14 ], [ 625, 932, 24, 14 ], [ 653, 932, 6, 14 ], [ 663, 932, 27, 14 ], [ 155, 948, 23, 14 ], [ 181, 948, 20, 14 ], [ 204, 948, 54, 14 ], [ 261, 948, 50, 14 ], [ 314, 948, 37, 14 ], [ 354, 948, 55, 14 ], [ 412, 948, 14, 14 ], [ 429, 948, 52, 14 ], [ 705, 1052, 30, 13 ], [ 738, 1052, 7, 13 ], [ 748, 1052, 11, 13 ], [ 762, 1052, 7, 13 ], [ 599, 1070, 25, 10 ], [ 627, 1070, 33, 10 ], [ 662, 1070, 14, 10 ], [ 678, 1070, 12, 10 ], [ 692, 1070, 31, 10 ], [ 726, 1070, 44, 10 ] ]
[ 0, 0, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 0, 0, 9, 9, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 7, 7, 7, 7, 0, 0, 0, 0, 0, 9, 9, 9, 9, 9, 9, 7, 7, 7, 7, 7, 7, 7, 7, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 4, 4, 4, 4, 4, 4, 4, 4, 4, 4 ]
3170026
[ "Effect", "of", "C-factor", "and", "LED", "Curing", "Mode", "on", "Microleakage", "of", "Class", "V", "Resin", "Composite", "Restorations", "Qasem", "Diefallah", "Alomaria", "Kefah", "Barrieshi-Nusairb", "Mohammad", "Alic", "AbstrAct", "Objectives:", "To", "investigate", "the", "effects", "of", "cavity", "C-factor", "and", "LED", "curing", "mode", "on", "microleakage", "of", "class", "V", "resin", "composite", "restorations.", "Methods:", "Eighty", "extracted", "human", "maxillary", "premolars", "were", "divided", "into", "four", "groups.", "In", "groups", "I", "and", "II,", "V-shaped", "class", "V", "cavities", "(C-factor", "≈", "1.5)", "were", "prepared", "while", "box-shaped", "class", "V", "cavities", "(high", "C-factor", "≈", "4)", "were", "prepared", "in", "groups", "III", "and", "IV.", "All", "the", "cavities", "were", "prepared", "on", "the", "vestibular", "surfaces", "of", "the", "teeth.", "All", "the", "cavities", "were", "prepared", "by", "one", "operator", "with", "specific", "dimensions.", "The", "same", "adhesive", "system", "(Excite)", "and", "the", "same", "restorative", "composite", "(Tetric", "Ceram)", "were", "used", "in", "all", "the", "groups.", "The", "restorations", "in", "groups", "I", "and", "III", "were", "cured", "with", "the", "fast", "curing", "mode", "of", "LED", "curing", "light,", "while", "the", "restorations", "in", "groups", "II", "and", "IV", "were", "cured", "with", "the", "soft-start", "mode", "of", "the", "same", "cur-", "ing", "light.", "The", "samples", "were", "thermocycled,", "immersed", "in", "a", "0.5%", "basic", "fuchsin", "solution", "for", "24", "hours,", "and", "sectioned.", "The", "degree", "of", "dye", "penetration", "was", "measured", "quantitatively", "and", "then", "qualitatively", "at", "both", "enamel", "and", "dentin/cementum", "margins.", "Results:", "Quantitatively,", "there", "was", "no", "statistical", "difference", "in", "the", "degree", "of", "microleakage", "between", "the", "groups", "at", "the", "enamel", "margin", "(P>.05).", "At", "the", "dentin/cementum", "margin,", "group", "III", "showed", "signifi-", "cantly", "more", "dye", "penetration", "than", "the", "other", "groups", "(P<.001).", "Similarly,", "qualitative", "measurements", "of", "dye", "penetration", "showed", "that", "group", "III", "had", "higher", "microleakage", "at", "dentin/cementum", "margin", "than", "the", "remaining", "groups", "(I", "and", "III", "P<.001;", "II", "and", "III", "P<.01;", "III", "and", "IV", "P<.01).", "Paired", "sample", "statistics", "showed", "that", "microleakage", "at", "the", "dentin/cementum", "margin", "was", "not", "statistically", "different", "from", "enamel", "mi-", "croleakage", "(P>.05),", "except", "for", "group", "III", "(P<.000).", "Conclusions:", "Fast", "curing", "mode", "of", "LED", "curing", "light", "resulted", "in", "more", "microleakage", "at", "the", "gingi-", "val", "floor", "of", "class", "V", "cavities", "with", "high", "C-factor.", "There", "was", "no", "difference", "in", "dye", "penetration", "between", "enamel", "and", "dentin", "margins", "of", "the", "cavities", "except", "when", "the", "fast", "curing", "mode", "was", "used", "with", "high", "C-factor", "cavities.", "Both", "quantitative", "and", "qualitative", "measurements", "of", "microleakage", "gave", "the", "same", "results", "at", "both", "enamel", "and", "dentin", "margins.", "(Eur", "J", "Dent", "2011;5:400-408)", "Key", "words:", "Resin", "composite;", "Microleakage;", "C-factor;", "LED", "curing", "units;", "Curing", "modes.", "a", "Department", "of", "Restorative", "Sciences,", "Faculty", "of", "Dentistry,", "Kuwait", "University,", "Kuwait.", "b", "Deceased.", "c", "Department", "of", "Diagnostic", "Sciences,", "Faculty", "of", "Dentistry,", "Kuwait", "University,", "Kuwait.", "Corresponding", "author:", "Qasem", "Diefallah", "Alomari", "Department", "of", "Restorative", "Sciences,", "Faculty", "of", "Dentistry,", "Kuwait", "University,", "P.", "O.", "Box", "24923,", "Alsafat", "13110,", "Kuwait.", "E-mail:", "qalomari@hsc.edu.kw", "qasemalomari70@yahoo.com", "400", "European", "Journal", "of", "Dentistry" ]
[ [ 171, 143, 82, 34 ], [ 262, 143, 28, 34 ], [ 298, 143, 116, 34 ], [ 423, 143, 56, 34 ], [ 487, 143, 61, 34 ], [ 557, 143, 96, 34 ], [ 661, 143, 83, 34 ], [ 171, 180, 37, 34 ], [ 217, 180, 194, 34 ], [ 419, 180, 28, 34 ], [ 455, 180, 81, 34 ], [ 545, 180, 19, 34 ], [ 573, 180, 81, 34 ], [ 171, 216, 158, 34 ], [ 338, 216, 181, 34 ], [ 179, 340, 43, 14 ], [ 225, 340, 56, 14 ], [ 284, 340, 54, 14 ], [ 179, 360, 36, 14 ], [ 218, 360, 110, 14 ], [ 179, 379, 74, 14 ], [ 255, 379, 20, 14 ], [ 189, 442, 22, 17 ], [ 189, 464, 67, 14 ], [ 262, 464, 15, 14 ], [ 280, 464, 67, 14 ], [ 350, 464, 20, 14 ], [ 373, 464, 42, 14 ], [ 418, 464, 12, 14 ], [ 433, 464, 35, 14 ], [ 471, 464, 52, 14 ], [ 525, 464, 23, 14 ], [ 551, 464, 26, 14 ], [ 580, 464, 40, 14 ], [ 623, 464, 35, 14 ], [ 661, 464, 16, 14 ], [ 679, 464, 85, 14 ], [ 766, 464, 12, 14 ], [ 169, 483, 33, 14 ], [ 205, 483, 8, 14 ], [ 215, 483, 32, 14 ], [ 250, 483, 64, 14 ], [ 318, 483, 80, 14 ], [ 189, 503, 58, 14 ], [ 250, 503, 39, 14 ], [ 292, 503, 59, 14 ], [ 354, 503, 43, 14 ], [ 401, 503, 58, 14 ], [ 462, 503, 65, 14 ], [ 530, 503, 31, 14 ], [ 565, 503, 44, 14 ], [ 612, 503, 24, 14 ], [ 639, 503, 26, 14 ], [ 669, 503, 47, 14 ], [ 719, 503, 12, 14 ], [ 735, 503, 43, 14 ], [ 169, 522, 5, 14 ], [ 177, 522, 23, 14 ], [ 204, 522, 12, 14 ], [ 219, 522, 58, 14 ], [ 281, 522, 33, 14 ], [ 317, 522, 8, 14 ], [ 329, 522, 47, 14 ], [ 379, 522, 56, 14 ], [ 438, 522, 8, 14 ], [ 450, 522, 23, 14 ], [ 476, 522, 31, 14 ], [ 511, 522, 57, 14 ], [ 571, 522, 33, 14 ], [ 608, 522, 72, 14 ], [ 684, 522, 33, 14 ], [ 720, 522, 8, 14 ], [ 732, 522, 47, 14 ], [ 169, 542, 31, 14 ], [ 203, 542, 51, 14 ], [ 257, 542, 8, 14 ], [ 267, 542, 12, 14 ], [ 281, 542, 31, 14 ], [ 315, 542, 57, 14 ], [ 374, 542, 12, 14 ], [ 388, 542, 43, 14 ], [ 434, 542, 12, 14 ], [ 449, 542, 23, 14 ], [ 474, 542, 16, 14 ], [ 492, 542, 17, 14 ], [ 512, 542, 20, 14 ], [ 534, 542, 47, 14 ], [ 583, 542, 31, 14 ], [ 617, 542, 57, 14 ], [ 676, 542, 16, 14 ], [ 694, 542, 20, 14 ], [ 717, 542, 62, 14 ], [ 169, 561, 54, 14 ], [ 226, 561, 12, 14 ], [ 242, 561, 20, 14 ], [ 266, 561, 36, 14 ], [ 305, 561, 17, 14 ], [ 326, 561, 20, 14 ], [ 350, 561, 47, 14 ], [ 400, 561, 31, 14 ], [ 434, 561, 57, 14 ], [ 495, 561, 14, 14 ], [ 512, 561, 23, 14 ], [ 539, 561, 54, 14 ], [ 596, 561, 27, 14 ], [ 626, 561, 47, 14 ], [ 677, 561, 75, 14 ], [ 755, 561, 23, 14 ], [ 169, 581, 34, 14 ], [ 206, 581, 55, 14 ], [ 264, 581, 45, 14 ], [ 312, 581, 46, 14 ], [ 361, 581, 23, 14 ], [ 388, 581, 20, 14 ], [ 411, 581, 34, 14 ], [ 449, 581, 67, 14 ], [ 519, 581, 64, 14 ], [ 587, 581, 40, 14 ], [ 630, 581, 46, 14 ], [ 680, 581, 31, 14 ], [ 714, 581, 30, 14 ], [ 748, 581, 12, 14 ], [ 763, 581, 16, 14 ], [ 169, 600, 20, 14 ], [ 192, 600, 47, 14 ], [ 243, 600, 23, 14 ], [ 269, 600, 76, 14 ], [ 348, 600, 12, 14 ], [ 363, 600, 44, 14 ], [ 410, 600, 4, 14 ], [ 418, 600, 23, 14 ], [ 444, 600, 12, 14 ], [ 460, 600, 31, 14 ], [ 494, 600, 36, 14 ], [ 533, 600, 26, 14 ], [ 563, 600, 20, 14 ], [ 586, 600, 24, 14 ], [ 613, 600, 40, 14 ], [ 656, 600, 35, 14 ], [ 694, 600, 12, 14 ], [ 710, 600, 26, 14 ], [ 739, 600, 40, 14 ], [ 169, 620, 32, 14 ], [ 203, 620, 33, 14 ], [ 240, 620, 20, 14 ], [ 262, 620, 76, 14 ], [ 341, 620, 12, 14 ], [ 355, 620, 44, 14 ], [ 402, 620, 8, 14 ], [ 413, 620, 23, 14 ], [ 439, 620, 12, 14 ], [ 453, 620, 31, 14 ], [ 487, 620, 36, 14 ], [ 525, 620, 26, 14 ], [ 555, 620, 20, 14 ], [ 578, 620, 59, 14 ], [ 639, 620, 35, 14 ], [ 677, 620, 12, 14 ], [ 692, 620, 20, 14 ], [ 715, 620, 34, 14 ], [ 752, 620, 27, 14 ], [ 169, 639, 19, 14 ], [ 192, 639, 32, 14 ], [ 227, 639, 23, 14 ], [ 253, 639, 53, 14 ], [ 309, 639, 31, 14 ], [ 344, 639, 88, 14 ], [ 435, 639, 64, 14 ], [ 502, 639, 12, 14 ], [ 517, 639, 8, 14 ], [ 528, 639, 30, 14 ], [ 561, 639, 33, 14 ], [ 597, 639, 45, 14 ], [ 646, 639, 50, 14 ], [ 699, 639, 18, 14 ], [ 720, 639, 15, 14 ], [ 739, 639, 40, 14 ], [ 169, 658, 23, 14 ], [ 195, 658, 64, 14 ], [ 262, 658, 23, 14 ], [ 289, 658, 44, 14 ], [ 335, 658, 12, 14 ], [ 351, 658, 22, 14 ], [ 375, 658, 72, 14 ], [ 450, 658, 25, 14 ], [ 478, 658, 63, 14 ], [ 544, 658, 83, 14 ], [ 631, 658, 23, 14 ], [ 657, 658, 28, 14 ], [ 688, 658, 75, 14 ], [ 766, 658, 12, 14 ], [ 169, 678, 28, 14 ], [ 200, 678, 47, 14 ], [ 250, 678, 23, 14 ], [ 276, 678, 110, 14 ], [ 389, 678, 55, 14 ], [ 189, 697, 51, 14 ], [ 242, 697, 88, 14 ], [ 333, 697, 34, 14 ], [ 369, 697, 25, 14 ], [ 396, 697, 16, 14 ], [ 414, 697, 61, 14 ], [ 477, 697, 63, 14 ], [ 542, 697, 12, 14 ], [ 556, 697, 20, 14 ], [ 579, 697, 44, 14 ], [ 624, 697, 12, 14 ], [ 639, 697, 85, 14 ], [ 726, 697, 53, 14 ], [ 169, 717, 20, 14 ], [ 192, 717, 44, 14 ], [ 239, 717, 12, 14 ], [ 254, 717, 20, 14 ], [ 277, 717, 47, 14 ], [ 327, 717, 45, 14 ], [ 375, 717, 48, 15 ], [ 425, 717, 14, 14 ], [ 442, 717, 20, 14 ], [ 465, 717, 110, 14 ], [ 578, 717, 48, 14 ], [ 630, 717, 37, 14 ], [ 669, 717, 12, 14 ], [ 685, 717, 48, 14 ], [ 735, 717, 44, 14 ], [ 169, 736, 37, 14 ], [ 209, 736, 33, 14 ], [ 246, 736, 22, 14 ], [ 270, 736, 72, 14 ], [ 345, 736, 28, 14 ], [ 376, 736, 20, 14 ], [ 399, 736, 34, 14 ], [ 435, 736, 43, 14 ], [ 482, 736, 55, 15 ], [ 540, 736, 59, 14 ], [ 602, 736, 65, 14 ], [ 669, 736, 94, 14 ], [ 766, 736, 12, 14 ], [ 169, 756, 22, 14 ], [ 193, 756, 72, 14 ], [ 267, 756, 47, 14 ], [ 317, 756, 25, 14 ], [ 344, 756, 37, 14 ], [ 383, 756, 12, 14 ], [ 398, 756, 23, 14 ], [ 423, 756, 40, 14 ], [ 466, 756, 85, 14 ], [ 553, 756, 12, 14 ], [ 568, 756, 110, 14 ], [ 681, 756, 45, 14 ], [ 728, 756, 28, 14 ], [ 758, 756, 20, 14 ], [ 169, 775, 63, 14 ], [ 235, 775, 43, 14 ], [ 281, 775, 9, 14 ], [ 293, 775, 23, 14 ], [ 319, 775, 12, 14 ], [ 334, 775, 47, 15 ], [ 383, 775, 8, 14 ], [ 394, 775, 23, 14 ], [ 420, 775, 12, 14 ], [ 435, 775, 40, 15 ], [ 478, 775, 12, 14 ], [ 493, 775, 23, 14 ], [ 519, 775, 12, 14 ], [ 534, 775, 44, 15 ], [ 580, 775, 41, 14 ], [ 623, 775, 46, 14 ], [ 672, 775, 56, 14 ], [ 731, 775, 48, 14 ], [ 169, 795, 25, 14 ], [ 198, 795, 85, 14 ], [ 286, 795, 12, 14 ], [ 302, 795, 20, 14 ], [ 326, 795, 110, 14 ], [ 440, 795, 45, 14 ], [ 488, 795, 25, 14 ], [ 517, 795, 20, 14 ], [ 541, 795, 71, 14 ], [ 615, 795, 53, 14 ], [ 672, 795, 30, 14 ], [ 706, 795, 47, 14 ], [ 756, 795, 22, 14 ], [ 169, 814, 69, 14 ], [ 241, 814, 48, 15 ], [ 291, 814, 41, 14 ], [ 335, 814, 18, 14 ], [ 356, 814, 37, 14 ], [ 396, 814, 12, 14 ], [ 411, 814, 55, 15 ], [ 189, 833, 80, 14 ], [ 272, 833, 27, 14 ], [ 303, 833, 40, 14 ], [ 347, 833, 35, 14 ], [ 385, 833, 12, 14 ], [ 401, 833, 26, 14 ], [ 431, 833, 40, 14 ], [ 474, 833, 28, 14 ], [ 506, 833, 52, 14 ], [ 562, 833, 12, 14 ], [ 577, 833, 33, 14 ], [ 614, 833, 85, 14 ], [ 702, 833, 12, 14 ], [ 718, 833, 20, 14 ], [ 742, 833, 36, 14 ], [ 169, 853, 18, 14 ], [ 191, 853, 30, 14 ], [ 224, 853, 12, 14 ], [ 240, 853, 32, 14 ], [ 275, 853, 8, 14 ], [ 287, 853, 47, 14 ], [ 337, 853, 26, 14 ], [ 367, 853, 27, 14 ], [ 398, 853, 55, 14 ], [ 457, 853, 36, 14 ], [ 497, 853, 25, 14 ], [ 525, 853, 16, 14 ], [ 544, 853, 63, 14 ], [ 610, 853, 12, 14 ], [ 626, 853, 22, 14 ], [ 651, 853, 72, 14 ], [ 726, 853, 53, 14 ], [ 169, 872, 47, 14 ], [ 220, 872, 23, 14 ], [ 247, 872, 39, 14 ], [ 291, 872, 52, 14 ], [ 347, 872, 12, 14 ], [ 363, 872, 20, 14 ], [ 388, 872, 47, 14 ], [ 439, 872, 41, 14 ], [ 484, 872, 34, 14 ], [ 521, 872, 20, 14 ], [ 546, 872, 24, 14 ], [ 574, 872, 40, 14 ], [ 618, 872, 35, 14 ], [ 657, 872, 25, 14 ], [ 686, 872, 30, 14 ], [ 721, 872, 26, 14 ], [ 751, 872, 27, 14 ], [ 169, 892, 52, 14 ], [ 225, 892, 50, 14 ], [ 279, 892, 30, 14 ], [ 312, 892, 73, 14 ], [ 389, 892, 23, 14 ], [ 416, 892, 64, 14 ], [ 485, 892, 94, 14 ], [ 583, 892, 12, 14 ], [ 599, 892, 85, 14 ], [ 687, 892, 29, 14 ], [ 720, 892, 20, 14 ], [ 744, 892, 34, 14 ], [ 169, 911, 44, 14 ], [ 216, 911, 12, 14 ], [ 231, 911, 28, 14 ], [ 262, 911, 47, 14 ], [ 312, 911, 23, 14 ], [ 338, 911, 39, 14 ], [ 380, 911, 55, 14 ], [ 438, 911, 27, 14 ], [ 468, 911, 7, 14 ], [ 478, 911, 30, 14 ], [ 511, 911, 99, 14 ], [ 189, 950, 23, 14 ], [ 215, 950, 42, 14 ], [ 260, 950, 35, 14 ], [ 298, 950, 68, 14 ], [ 369, 950, 88, 14 ], [ 460, 950, 56, 14 ], [ 519, 950, 26, 14 ], [ 548, 950, 40, 14 ], [ 591, 950, 35, 14 ], [ 629, 950, 42, 14 ], [ 674, 950, 46, 14 ], [ 180, 1016, 4, 7 ], [ 190, 1015, 60, 12 ], [ 252, 1015, 10, 12 ], [ 264, 1015, 57, 12 ], [ 323, 1015, 47, 12 ], [ 372, 1015, 36, 12 ], [ 411, 1015, 10, 12 ], [ 190, 1030, 48, 12 ], [ 240, 1030, 34, 12 ], [ 277, 1030, 53, 12 ], [ 332, 1030, 37, 12 ], [ 180, 1045, 4, 7 ], [ 190, 1045, 52, 12 ], [ 180, 1059, 4, 7 ], [ 190, 1059, 60, 12 ], [ 252, 1059, 10, 12 ], [ 264, 1059, 52, 12 ], [ 318, 1059, 47, 12 ], [ 368, 1059, 36, 12 ], [ 406, 1059, 10, 12 ], [ 190, 1074, 48, 12 ], [ 240, 1074, 34, 12 ], [ 277, 1074, 53, 12 ], [ 332, 1074, 37, 12 ], [ 505, 1014, 74, 12 ], [ 580, 1014, 36, 12 ], [ 619, 1014, 35, 12 ], [ 656, 1014, 45, 12 ], [ 703, 1014, 40, 12 ], [ 505, 1029, 60, 12 ], [ 566, 1029, 10, 12 ], [ 578, 1029, 57, 12 ], [ 636, 1029, 47, 12 ], [ 685, 1029, 36, 12 ], [ 724, 1029, 10, 12 ], [ 735, 1029, 48, 12 ], [ 505, 1043, 34, 12 ], [ 541, 1043, 53, 12 ], [ 595, 1043, 10, 12 ], [ 608, 1043, 11, 12 ], [ 620, 1043, 19, 12 ], [ 641, 1043, 32, 12 ], [ 675, 1043, 35, 12 ], [ 712, 1043, 32, 12 ], [ 746, 1043, 37, 12 ], [ 505, 1058, 37, 12 ], [ 544, 1058, 108, 12 ], [ 543, 1072, 144, 12 ], [ 105, 1124, 23, 14 ], [ 155, 1108, 55, 13 ], [ 213, 1108, 44, 13 ], [ 259, 1108, 11, 13 ], [ 273, 1108, 52, 13 ] ]
[ 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 6, 6, 6, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 17, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 4, 0, 0, 0, 0 ]
1936366
[ "Restless", "leg", "syndrome:", "is", "it", "a", "real", "problem?", "Paul", "E", "Cotter", "Shaun", "T", "O’Keeffe", "Department", "of", "Geriatric", "Medicine,", "Galway", "University", "Hospitals,", "Galway,", "Ireland", "Correspondence:", "S", "O’Keeffe", "Unit", "4,", "Merlin", "Park", "Regional", "Hospital,", "Galway,", "Ireland", "Tel", "+", "353", "91", "775", "561", "Fax", "+", "353", "91", "770", "515", "Email", "s.okeeffe@mailn.hse.ie", "R", "E", "V", "I", "E", "W", "Abstract:", "Restless", "legs", "syndrome", "(RLS)", "is", "a", "common", "condition", "that", "is", "frequently", "unrecognized,", "misdiagnosed", "and", "poorly", "managed.", "It", "is", "characterized", "by", "uncomfortable", "sensations", "deep", "in", "the", "legs", "developing", "at", "rest", "that", "compel", "the", "person", "to", "move;", "symptoms", "are", "worst", "at", "night", "and", "sleep", "disturbance", "is", "common.", "RLS", "occurs", "in", "7%–11%", "of", "the", "population", "in", "Western", "countries,", "and", "many", "such", "people", "experience", "troublesome", "symptoms.", "Primary", "RLS", "is", "familial", "in", "up", "to", "two", "thirds", "of", "patients.", "RLS", "may", "also", "be", "secondary", "to", "a", "number", "of", "conditions", "including", "iron", "deficiency,", "pregnancy", "and", "end-stage", "renal", "failure", "and,", "perhaps,", "neuropathy.", "Secondary", "RLS", "is", "most", "common", "in", "those", "presenting", "for", "the", "first", "time", "in", "later", "life.", "The", "pathogenesis", "of", "RLS", "probably", "involves", "the", "interplay", "of", "systemic", "or", "brain", "iron", "deficiency", "and", "impaired", "dopaminergic", "neurotransmission", "in", "the", "subcortex", "of", "the", "brain.", "RLS", "is", "very", "responsive", "to", "dopaminergic", "therapies.", "Rebound", "of", "RLS", "symptoms", "during", "the", "early", "morning", "and", "development", "of", "severe", "symptoms", "earlier", "in", "the", "day", "(augmentation)", "are", "problematic", "in", "those", "treated", "for", "a", "prolonged", "period", "with", "levodopa.", "Consequently,", "dopamine", "agonists", "have", "become", "first", "line", "treatment.", "Anti-convulsant", "medications", "and", "opioids", "are", "helpful", "in", "some", "patients.", "Correction", "of", "underlying", "problem", "wherever", "possible", "is", "important", "in", "the", "management", "of", "secondary", "RLS.", "Keywords:", "Restless", "legs", "syndrome;", "sleep;", "iron", "deficiency;", "neuropathy", "Introduction", "Restless", "Legs", "Syndrome", "(RLS)", "was", "first", "described", "in", "the", "medical", "literature", "by", "the", "anatomist", "and", "physician", "Thomas", "Willis", "in", "1685", "and", "has", "been", "recognized", "as", "a", "well-", "defined,", "common", "and", "frequently", "distressing", "entity", "since", "Ekbom’s", "classic", "description", "in", "1945.", "Nevertheless,", "RLS", "has", "attracted", "little", "attention", "in", "medical", "textbooks", "until", "recently,", "and,", "even", "now,", "it", "is", "often", "unrecognized,", "misdiagnosed", "and", "poorly", "managed.", "In", "this", "paper,", "we", "explore", "the", "reasons", "for", "the", "relative", "neglect", "of", "RLS,", "explain", "current", "thinking", "regarding", "the", "pathogenesis", "and", "management", "of", "the", "condition", "and", "show", "why", "patients", "with", "RLS", "will", "benefit", "from", "careful", "investigation", "and", "treatment.", "What", "is", "RLS?", "RLS", "is", "both", "a", "sensorimotor", "and", "a", "sleep", "disorder.", "It", "is", "characterized", "by", "unusual,", "uncomfortable", "sensations", "deep", "in", "the", "legs", "(and", "sometimes", "arms)", "that", "compel", "the", "person", "to", "move", "to", "relieve", "the", "sensation", "and", "that", "are", "brought", "on", "and", "exacerbated", "by", "rest;", "symptoms", "are", "particularly", "troublesome", "in", "the", "evening", "and", "at", "night,", "and", "sleep", "disturbance", "is", "common.", "The", "original", "report", "by", "Willis", "(1685)", "described", "the", "motor", "features", "and", "the", "sleep", "disruption", "but", "did", "not", "mention", "the", "sensory", "features", "that", "are", "often", "the", "main", "complaint", "of", "patients.", "In", "contrast,", "Karl-Axel", "Ekbom", "(1945)", "emphasized", "the", "importance", "of", "the", "sensory", "component", "of", "the", "condition.", "The", "current", "diagnostic", "criteria", "were", "developed", "at", "an", "National", "Institutes", "of", "Health", "(NIH)-supported", "workgroup", "on", "RLS", "and", "represent", "a", "slight", "modification", "of", "the", "original", "diagnostic", "criteria", "published", "by", "the", "International", "RLS", "Study", "Group", "in", "1995", "(Walters", "1995;", "Allen", "et", "al", "2003).", "There", "are", "four", "essential", "criteria", "and", "three", "supportive", "clinical", "features", "(Table", "1).", "Therapeutics", "and", "Clinical", "Risk", "Management", "2006:2(4)", "465–475", "©", "2006", "Dove", "Medical", "Press", "Limited.", "All", "rights", "reserved", "465" ]
[ [ 98, 127, 115, 34 ], [ 224, 127, 40, 34 ], [ 274, 127, 148, 34 ], [ 429, 127, 21, 34 ], [ 461, 127, 20, 34 ], [ 491, 127, 15, 34 ], [ 517, 127, 53, 34 ], [ 580, 127, 130, 34 ], [ 98, 198, 28, 16 ], [ 131, 198, 8, 16 ], [ 144, 198, 47, 16 ], [ 98, 217, 40, 16 ], [ 141, 217, 10, 16 ], [ 156, 217, 60, 16 ], [ 98, 246, 61, 12 ], [ 162, 246, 10, 12 ], [ 176, 246, 46, 12 ], [ 225, 246, 48, 12 ], [ 98, 259, 36, 12 ], [ 137, 259, 51, 12 ], [ 191, 259, 50, 12 ], [ 243, 259, 38, 12 ], [ 98, 272, 35, 12 ], [ 98, 934, 80, 12 ], [ 180, 934, 6, 12 ], [ 188, 934, 41, 12 ], [ 98, 947, 20, 12 ], [ 121, 947, 9, 12 ], [ 132, 947, 30, 12 ], [ 164, 947, 21, 12 ], [ 187, 947, 39, 12 ], [ 229, 947, 41, 12 ], [ 98, 960, 35, 12 ], [ 135, 960, 32, 12 ], [ 98, 974, 13, 12 ], [ 114, 974, 7, 12 ], [ 124, 974, 17, 12 ], [ 144, 974, 12, 12 ], [ 159, 974, 17, 12 ], [ 179, 974, 17, 12 ], [ 98, 987, 16, 12 ], [ 117, 987, 7, 12 ], [ 127, 987, 17, 12 ], [ 147, 987, 12, 12 ], [ 161, 987, 17, 12 ], [ 181, 987, 17, 12 ], [ 98, 1000, 25, 12 ], [ 125, 1000, 105, 12 ], [ 712, 63, 9, 14 ], [ 723, 63, 7, 14 ], [ 733, 63, 9, 14 ], [ 744, 63, 4, 14 ], [ 750, 63, 7, 14 ], [ 760, 63, 15, 14 ], [ 307, 201, 59, 13 ], [ 371, 201, 45, 13 ], [ 421, 201, 22, 13 ], [ 448, 201, 53, 13 ], [ 506, 201, 34, 13 ], [ 545, 201, 9, 13 ], [ 559, 201, 6, 13 ], [ 571, 201, 46, 13 ], [ 622, 201, 51, 13 ], [ 679, 201, 21, 13 ], [ 705, 201, 9, 13 ], [ 719, 201, 56, 13 ], [ 307, 219, 74, 13 ], [ 385, 219, 72, 13 ], [ 462, 219, 19, 13 ], [ 485, 219, 34, 13 ], [ 525, 219, 50, 13 ], [ 580, 219, 8, 13 ], [ 593, 219, 9, 13 ], [ 606, 219, 70, 13 ], [ 681, 219, 13, 13 ], [ 699, 219, 76, 13 ], [ 307, 237, 53, 13 ], [ 362, 237, 24, 13 ], [ 389, 237, 10, 13 ], [ 402, 237, 16, 13 ], [ 421, 237, 21, 13 ], [ 444, 237, 57, 13 ], [ 504, 237, 10, 13 ], [ 516, 237, 19, 13 ], [ 538, 237, 20, 13 ], [ 560, 237, 38, 13 ], [ 601, 237, 16, 13 ], [ 619, 237, 34, 13 ], [ 656, 237, 10, 13 ], [ 669, 237, 32, 13 ], [ 704, 237, 53, 13 ], [ 759, 237, 16, 13 ], [ 307, 255, 29, 13 ], [ 338, 255, 10, 13 ], [ 350, 255, 27, 13 ], [ 379, 255, 19, 13 ], [ 400, 255, 27, 13 ], [ 429, 255, 59, 13 ], [ 490, 255, 9, 13 ], [ 502, 255, 48, 13 ], [ 552, 255, 24, 13 ], [ 578, 255, 34, 13 ], [ 614, 255, 10, 13 ], [ 627, 255, 46, 13 ], [ 676, 255, 11, 13 ], [ 689, 255, 16, 13 ], [ 708, 255, 55, 13 ], [ 765, 255, 10, 13 ], [ 307, 273, 42, 13 ], [ 352, 273, 50, 13 ], [ 405, 273, 19, 13 ], [ 427, 273, 29, 13 ], [ 459, 273, 24, 13 ], [ 485, 273, 34, 13 ], [ 523, 273, 56, 13 ], [ 582, 273, 63, 13 ], [ 648, 273, 56, 13 ], [ 707, 273, 41, 13 ], [ 752, 273, 24, 13 ], [ 307, 291, 9, 13 ], [ 317, 291, 40, 13 ], [ 359, 291, 10, 13 ], [ 371, 291, 13, 13 ], [ 386, 291, 10, 13 ], [ 399, 291, 19, 13 ], [ 420, 291, 29, 13 ], [ 451, 291, 11, 13 ], [ 464, 291, 43, 13 ], [ 509, 291, 24, 13 ], [ 534, 291, 22, 13 ], [ 558, 291, 21, 13 ], [ 581, 291, 12, 13 ], [ 595, 291, 52, 13 ], [ 648, 291, 10, 13 ], [ 661, 291, 6, 13 ], [ 669, 291, 39, 13 ], [ 710, 291, 11, 13 ], [ 722, 291, 53, 13 ], [ 307, 309, 49, 13 ], [ 359, 309, 21, 13 ], [ 384, 309, 56, 13 ], [ 443, 309, 53, 13 ], [ 500, 309, 19, 13 ], [ 523, 309, 49, 13 ], [ 576, 309, 26, 13 ], [ 605, 309, 34, 13 ], [ 643, 309, 22, 13 ], [ 668, 309, 43, 13 ], [ 715, 309, 60, 13 ], [ 307, 327, 55, 13 ], [ 366, 327, 24, 13 ], [ 394, 327, 9, 13 ], [ 408, 327, 25, 13 ], [ 437, 327, 45, 13 ], [ 487, 327, 10, 13 ], [ 502, 327, 28, 13 ], [ 534, 327, 54, 13 ], [ 593, 327, 15, 13 ], [ 613, 327, 16, 13 ], [ 633, 327, 21, 13 ], [ 659, 327, 23, 13 ], [ 687, 327, 10, 13 ], [ 702, 327, 23, 13 ], [ 730, 327, 21, 13 ], [ 755, 327, 20, 13 ], [ 307, 345, 66, 13 ], [ 375, 345, 11, 13 ], [ 389, 345, 24, 13 ], [ 415, 345, 46, 13 ], [ 462, 345, 44, 13 ], [ 508, 345, 16, 13 ], [ 527, 345, 46, 13 ], [ 575, 345, 11, 13 ], [ 588, 345, 45, 13 ], [ 635, 345, 11, 13 ], [ 649, 345, 27, 13 ], [ 678, 345, 21, 13 ], [ 701, 345, 54, 13 ], [ 757, 345, 19, 13 ], [ 307, 364, 45, 13 ], [ 354, 364, 69, 13 ], [ 425, 364, 92, 13 ], [ 519, 364, 10, 13 ], [ 531, 364, 16, 13 ], [ 548, 364, 49, 13 ], [ 599, 364, 11, 13 ], [ 612, 364, 16, 13 ], [ 630, 364, 29, 13 ], [ 661, 364, 24, 13 ], [ 686, 364, 9, 13 ], [ 697, 364, 23, 13 ], [ 721, 364, 54, 13 ], [ 307, 381, 10, 13 ], [ 322, 381, 73, 13 ], [ 400, 381, 52, 13 ], [ 457, 381, 48, 13 ], [ 509, 381, 11, 13 ], [ 525, 381, 24, 13 ], [ 554, 381, 54, 13 ], [ 613, 381, 35, 13 ], [ 653, 381, 16, 13 ], [ 675, 381, 27, 13 ], [ 706, 381, 45, 13 ], [ 756, 381, 19, 13 ], [ 307, 400, 66, 13 ], [ 376, 400, 11, 13 ], [ 390, 400, 33, 13 ], [ 425, 400, 53, 13 ], [ 481, 400, 33, 13 ], [ 517, 400, 10, 13 ], [ 530, 400, 16, 13 ], [ 549, 400, 19, 13 ], [ 571, 400, 78, 13 ], [ 652, 400, 16, 13 ], [ 671, 400, 61, 13 ], [ 735, 400, 10, 13 ], [ 748, 400, 27, 13 ], [ 307, 418, 35, 13 ], [ 344, 418, 15, 13 ], [ 361, 418, 6, 13 ], [ 370, 418, 52, 13 ], [ 424, 418, 33, 13 ], [ 459, 418, 23, 13 ], [ 484, 418, 50, 13 ], [ 537, 418, 73, 13 ], [ 612, 418, 50, 13 ], [ 664, 418, 42, 13 ], [ 709, 418, 24, 13 ], [ 735, 418, 40, 13 ], [ 307, 436, 21, 13 ], [ 332, 436, 20, 13 ], [ 355, 436, 52, 13 ], [ 410, 436, 82, 13 ], [ 496, 436, 62, 13 ], [ 562, 436, 19, 13 ], [ 585, 436, 38, 13 ], [ 627, 436, 16, 13 ], [ 646, 436, 37, 13 ], [ 687, 436, 10, 13 ], [ 701, 436, 27, 13 ], [ 732, 436, 43, 13 ], [ 307, 454, 55, 13 ], [ 367, 454, 11, 13 ], [ 382, 454, 56, 13 ], [ 443, 454, 43, 13 ], [ 490, 454, 48, 13 ], [ 543, 454, 43, 13 ], [ 590, 454, 9, 13 ], [ 604, 454, 50, 13 ], [ 659, 454, 10, 13 ], [ 673, 454, 16, 13 ], [ 694, 454, 66, 13 ], [ 764, 454, 11, 13 ], [ 307, 472, 52, 13 ], [ 362, 472, 27, 13 ], [ 307, 490, 61, 13 ], [ 370, 490, 42, 13 ], [ 416, 490, 21, 13 ], [ 440, 490, 54, 13 ], [ 496, 490, 30, 13 ], [ 530, 490, 21, 13 ], [ 553, 490, 57, 13 ], [ 613, 490, 58, 13 ], [ 307, 541, 118, 20 ], [ 307, 566, 46, 14 ], [ 357, 566, 28, 14 ], [ 388, 566, 58, 14 ], [ 450, 566, 36, 14 ], [ 489, 566, 22, 14 ], [ 515, 566, 23, 14 ], [ 542, 566, 54, 14 ], [ 600, 566, 11, 14 ], [ 615, 566, 18, 14 ], [ 636, 566, 45, 14 ], [ 685, 566, 51, 14 ], [ 739, 566, 15, 14 ], [ 758, 566, 18, 14 ], [ 307, 585, 55, 14 ], [ 365, 585, 21, 14 ], [ 389, 585, 54, 14 ], [ 446, 585, 46, 14 ], [ 495, 585, 34, 14 ], [ 532, 585, 11, 14 ], [ 547, 585, 28, 14 ], [ 579, 585, 21, 14 ], [ 603, 585, 19, 14 ], [ 625, 585, 27, 14 ], [ 655, 585, 62, 14 ], [ 721, 585, 12, 14 ], [ 736, 585, 7, 14 ], [ 746, 585, 29, 14 ], [ 307, 605, 46, 14 ], [ 355, 605, 50, 14 ], [ 407, 605, 21, 14 ], [ 430, 605, 58, 14 ], [ 490, 605, 61, 14 ], [ 553, 605, 33, 14 ], [ 588, 605, 29, 14 ], [ 620, 605, 50, 14 ], [ 672, 605, 38, 14 ], [ 712, 605, 63, 14 ], [ 307, 624, 11, 14 ], [ 322, 624, 32, 14 ], [ 357, 624, 77, 14 ], [ 438, 624, 26, 14 ], [ 468, 624, 19, 14 ], [ 490, 624, 49, 14 ], [ 543, 624, 26, 14 ], [ 573, 624, 50, 14 ], [ 627, 624, 11, 14 ], [ 642, 624, 45, 14 ], [ 690, 624, 55, 14 ], [ 749, 624, 26, 14 ], [ 307, 643, 48, 14 ], [ 357, 643, 24, 14 ], [ 384, 643, 27, 14 ], [ 413, 643, 27, 14 ], [ 442, 643, 8, 14 ], [ 453, 643, 10, 14 ], [ 465, 643, 29, 14 ], [ 497, 643, 80, 14 ], [ 579, 643, 78, 14 ], [ 658, 643, 21, 14 ], [ 681, 643, 37, 14 ], [ 721, 643, 55, 14 ], [ 326, 663, 12, 14 ], [ 343, 663, 21, 14 ], [ 369, 663, 35, 14 ], [ 408, 663, 17, 14 ], [ 429, 663, 43, 14 ], [ 476, 663, 18, 14 ], [ 499, 663, 43, 14 ], [ 546, 663, 17, 14 ], [ 567, 663, 18, 14 ], [ 589, 663, 43, 14 ], [ 637, 663, 41, 14 ], [ 682, 663, 12, 14 ], [ 699, 663, 30, 14 ], [ 733, 663, 42, 14 ], [ 307, 682, 40, 14 ], [ 351, 682, 47, 14 ], [ 402, 682, 54, 14 ], [ 460, 682, 18, 14 ], [ 482, 682, 73, 14 ], [ 559, 682, 21, 14 ], [ 584, 682, 72, 14 ], [ 660, 682, 12, 14 ], [ 676, 682, 18, 14 ], [ 697, 682, 54, 14 ], [ 755, 682, 21, 14 ], [ 307, 702, 30, 14 ], [ 340, 702, 25, 14 ], [ 368, 702, 44, 14 ], [ 415, 702, 25, 14 ], [ 444, 702, 26, 14 ], [ 473, 702, 22, 14 ], [ 498, 702, 40, 14 ], [ 541, 702, 28, 14 ], [ 572, 702, 40, 14 ], [ 615, 702, 73, 14 ], [ 691, 702, 21, 14 ], [ 715, 702, 57, 14 ], [ 307, 739, 54, 20 ], [ 366, 739, 14, 20 ], [ 386, 739, 46, 20 ], [ 307, 764, 26, 14 ], [ 338, 764, 10, 14 ], [ 352, 764, 26, 14 ], [ 383, 764, 7, 14 ], [ 394, 764, 74, 14 ], [ 473, 764, 21, 14 ], [ 499, 764, 7, 14 ], [ 510, 764, 29, 14 ], [ 545, 764, 50, 14 ], [ 599, 764, 9, 14 ], [ 613, 764, 10, 14 ], [ 628, 764, 76, 14 ], [ 708, 764, 15, 14 ], [ 728, 764, 48, 14 ], [ 307, 784, 82, 14 ], [ 394, 784, 58, 14 ], [ 456, 784, 27, 14 ], [ 488, 784, 11, 14 ], [ 504, 784, 18, 14 ], [ 526, 784, 23, 14 ], [ 554, 784, 25, 14 ], [ 583, 784, 60, 14 ], [ 648, 784, 32, 14 ], [ 685, 784, 22, 14 ], [ 711, 784, 42, 14 ], [ 758, 784, 18, 14 ], [ 307, 803, 38, 14 ], [ 348, 803, 11, 14 ], [ 363, 803, 32, 14 ], [ 397, 803, 11, 14 ], [ 412, 803, 39, 14 ], [ 454, 803, 18, 14 ], [ 475, 803, 53, 14 ], [ 531, 803, 21, 14 ], [ 555, 803, 22, 14 ], [ 580, 803, 18, 14 ], [ 601, 803, 44, 14 ], [ 648, 803, 14, 14 ], [ 666, 803, 21, 14 ], [ 690, 803, 68, 14 ], [ 761, 803, 15, 14 ], [ 307, 823, 25, 14 ], [ 335, 823, 58, 14 ], [ 397, 823, 18, 14 ], [ 418, 823, 65, 14 ], [ 487, 823, 70, 14 ], [ 561, 823, 11, 14 ], [ 576, 823, 18, 14 ], [ 598, 823, 45, 14 ], [ 646, 823, 21, 14 ], [ 671, 823, 11, 14 ], [ 685, 823, 33, 14 ], [ 722, 823, 21, 14 ], [ 746, 823, 29, 14 ], [ 307, 842, 65, 14 ], [ 376, 842, 10, 14 ], [ 391, 842, 53, 14 ], [ 448, 842, 22, 14 ], [ 474, 842, 44, 14 ], [ 523, 842, 34, 14 ], [ 561, 842, 14, 14 ], [ 580, 842, 34, 14 ], [ 618, 842, 38, 14 ], [ 661, 842, 54, 14 ], [ 719, 842, 18, 14 ], [ 741, 842, 34, 14 ], [ 307, 861, 45, 14 ], [ 356, 861, 21, 14 ], [ 380, 861, 18, 14 ], [ 402, 861, 29, 14 ], [ 435, 861, 58, 14 ], [ 497, 861, 18, 14 ], [ 519, 861, 18, 14 ], [ 541, 861, 18, 14 ], [ 564, 861, 46, 14 ], [ 614, 861, 18, 14 ], [ 636, 861, 43, 14 ], [ 683, 861, 45, 14 ], [ 732, 861, 22, 14 ], [ 758, 861, 18, 14 ], [ 307, 881, 29, 14 ], [ 337, 881, 17, 14 ], [ 357, 881, 28, 14 ], [ 387, 881, 55, 14 ], [ 444, 881, 12, 14 ], [ 458, 881, 47, 14 ], [ 507, 881, 12, 14 ], [ 521, 881, 47, 14 ], [ 570, 881, 56, 14 ], [ 628, 881, 40, 14 ], [ 671, 881, 37, 14 ], [ 710, 881, 65, 14 ], [ 307, 900, 18, 14 ], [ 328, 900, 64, 14 ], [ 394, 900, 12, 14 ], [ 410, 900, 18, 14 ], [ 431, 900, 43, 14 ], [ 477, 900, 63, 14 ], [ 543, 900, 12, 14 ], [ 559, 900, 18, 14 ], [ 580, 900, 57, 14 ], [ 326, 920, 22, 14 ], [ 351, 920, 40, 14 ], [ 394, 920, 58, 14 ], [ 454, 920, 40, 14 ], [ 497, 920, 28, 14 ], [ 527, 920, 58, 14 ], [ 588, 920, 10, 14 ], [ 601, 920, 14, 14 ], [ 617, 920, 49, 14 ], [ 668, 920, 52, 14 ], [ 723, 920, 12, 14 ], [ 737, 920, 38, 14 ], [ 307, 939, 93, 14 ], [ 402, 939, 61, 14 ], [ 465, 939, 14, 14 ], [ 481, 939, 26, 14 ], [ 509, 939, 20, 14 ], [ 531, 939, 51, 14 ], [ 584, 939, 7, 14 ], [ 593, 939, 31, 14 ], [ 626, 939, 71, 14 ], [ 699, 939, 12, 14 ], [ 713, 939, 17, 14 ], [ 732, 939, 43, 14 ], [ 307, 959, 58, 14 ], [ 367, 959, 40, 14 ], [ 410, 959, 55, 14 ], [ 468, 959, 14, 14 ], [ 485, 959, 18, 14 ], [ 505, 959, 72, 14 ], [ 580, 959, 26, 14 ], [ 609, 959, 33, 14 ], [ 644, 959, 36, 14 ], [ 683, 959, 11, 14 ], [ 697, 959, 28, 14 ], [ 728, 959, 48, 14 ], [ 307, 978, 32, 14 ], [ 341, 978, 32, 14 ], [ 375, 978, 11, 14 ], [ 388, 978, 11, 14 ], [ 401, 978, 37, 14 ], [ 440, 978, 33, 14 ], [ 476, 978, 18, 14 ], [ 496, 978, 24, 14 ], [ 522, 978, 49, 14 ], [ 574, 978, 40, 14 ], [ 617, 978, 21, 14 ], [ 640, 978, 29, 14 ], [ 671, 978, 60, 14 ], [ 733, 978, 42, 14 ], [ 307, 998, 45, 14 ], [ 355, 998, 36, 14 ], [ 394, 998, 16, 14 ], [ 307, 1047, 65, 12 ], [ 376, 1047, 18, 12 ], [ 397, 1047, 37, 12 ], [ 439, 1047, 21, 12 ], [ 464, 1047, 63, 12 ], [ 530, 1047, 48, 12 ], [ 582, 1047, 43, 12 ], [ 307, 1060, 9, 12 ], [ 319, 1060, 25, 12 ], [ 348, 1060, 27, 12 ], [ 378, 1060, 38, 12 ], [ 420, 1060, 27, 12 ], [ 450, 1060, 41, 12 ], [ 493, 1060, 14, 12 ], [ 511, 1060, 29, 12 ], [ 543, 1060, 44, 12 ], [ 752, 1045, 23, 14 ] ]
[ 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 6, 6, 3, 3, 3, 3, 3, 3, 3, 3, 3, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 13, 16, 16, 16, 16, 16, 16, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 4 ]
2927506
[ "Qian", "et", "al.", "Journal", "of", "Experimental", "&", "Clinical", "Cancer", "Research", "2010,", "29:111", "http://www.jeccr.com/content/29/1/111", "R", "E", "S", "E", "A", "R", "C", "H", "Open", "Access", "GTPase", "regulator", "associated", "with", "the", "focal", "adhesion", "kinase", "(GRAF)", "transcript", "was", "down-", "regulated", "in", "patients", "with", "myeloid", "malignancies", "Zhen", "Qian1,", "Jun", "Qian1*,", "Jiang", "Lin1,", "Dong-ming", "Yao1,", "Qin", "Chen1,", "Run-bi", "Ji1,", "Yun", "Li1,", "Gao-fei", "Xiao1,", "Jian-yong", "Li2", "Abstract", "Background:", "GTPase", "regulator", "associated", "with", "the", "focal", "adhesion", "kinase", "(GRAF),", "a", "putative", "tumor", "suppressor", "gene,", "is", "found", "inactivated", "in", "hematopoietic", "malignancies", "by", "either", "genetic", "or", "epigenetic", "abnormalities.", "However,", "the", "expression", "level", "of", "GRAF", "gene", "has", "not", "yet", "been", "studied", "in", "leukemia.", "The", "aim", "of", "this", "study", "was", "to", "investigate", "the", "expression", "level", "of", "GRAF", "gene", "in", "those", "patients", "with", "myeloid", "malignancies", "including", "acute", "myeloid", "leukemia", "(AML),", "myelodysplastic", "syndrome", "(MDS)", "and", "chronic", "myeloid", "leukemia", "(CML).", "Methods:", "The", "expression", "levels", "of", "GRAF", "transcript", "were", "determined", "in", "94", "patients", "using", "real-time", "quantitative", "PCR", "(RQ-PCR).", "Clinical", "and", "laboratory", "data", "of", "these", "patients", "were", "collected", "and", "analyzed.", "Results:", "The", "significantly", "decreased", "level", "of", "GRAF", "transcript", "was", "observed", "in", "three", "myeloid", "malignancies", "compared", "to", "controls.", "Within", "AML,", "there", "was", "no", "difference", "in", "the", "level", "of", "GRAF", "transcript", "among", "different", "FAB", "subtypes", "(P", ">", "0.05).", "Difference", "was", "not", "observed", "in", "the", "amount", "of", "GRAF", "mRNA", "between", "CML", "at", "chronic", "phase", "and", "controls.", "As", "CML", "progressed,", "GRAF", "transcript", "significantly", "decreased.", "In", "MDS,", "three", "cases", "with", "5q", "deletion", "had", "lower", "GRAF", "transcript", "than", "four", "without", "5q", "deletion", "(median", "0.76", "vs", "2.99)", "(P", ">", "0.05).", "Conclusion:", "our", "results", "demonstrate", "that", "the", "GRAF", "transcript", "is", "decreased", "in", "myeloid", "malignancies.", "Background", "Focal", "adhesion", "kinase", "(FAK),", "a", "non-receptor", "tyrosine", "kinase", "that", "resides", "at", "the", "sites", "of", "integrin", "clustering", "[1],", "plays", "an", "important", "role", "in", "the", "modulation", "of", "cell", "growth,", "proliferation,", "survival", "and", "migration", "[2].", "Recently,", "FAK", "has", "been", "found", "to", "be", "overexpressed", "and/", "or", "constitutively", "activated", "and", "correlated", "with", "increased", "motility,", "invasiveness,", "and", "proliferation", "of", "neoplastic", "cells", "of", "various", "tissue", "types", "[2].", "Two", "published", "articles", "revealed", "that", "aberrant", "expression", "of", "FAK", "was", "observed", "in", "CD34+", "leukemic", "cells", "and", "associated", "with", "enhanced", "blast", "migration,", "increased", "cellularity", "and", "poor", "prognosis", "[3,4].", "Le", "et", "al", "showed", "that", "FAK", "silencing", "inhibited", "leu-", "kemogenesis", "in", "BCR/ABL-transformed", "hematopoietic", "cells", "[5].", "Tyner", "et", "al", "also", "identified", "FAK", "as", "one", "of", "thera-", "peutic", "molecular", "targets", "in", "acute", "myeloid", "leukemia", "(AML)", "[6].", "*", "Correspondence:", "qianjun0007@hotmail.com", "1Department", "of", "Hematology,", "Affiliated", "People’s", "Hospital", "of", "Jiangsu", "University,", "Zhenjiang,", "Jiangsu", "212002,", "China", "Full", "list", "of", "author", "information", "is", "available", "at", "the", "end", "of", "the", "article", "FAK", "protein", "is", "composed", "of", "an", "N-terminal", "FERM", "domain,", "a", "central", "kinase", "domain,", "and", "a", "C-terminal", "domain", "that", "includes", "the", "focal", "adhesion", "targeting", "(FAT)", "sequence", "responsible", "for", "FAK’s", "localization", "to", "focal", "adhesions.", "Both", "the", "N-terminal", "and", "C-terminal", "domains", "have", "been", "shown", "to", "mediate", "FAK", "interaction", "with", "a", "variety", "of", "other", "proteins", "critical", "for", "activation", "of", "FAK", "by", "integrins", "or", "other", "cell", "surface", "receptors", "as", "well", "as", "FAK", "regulation", "of", "different", "cellular", "functions", "[2].", "GTPase", "regulator", "associated", "with", "focal", "adhesion", "kinase", "(GRAF)", "is", "a", "newly", "identified", "protein", "specifically", "binding", "to", "the", "proline-rich", "region", "in", "the", "COOH", "termi-", "nus", "of", "FAK", "and", "negatively", "regulates", "the", "small", "GTP-", "binding", "protein", "RhoA,", "which", "is", "well", "known", "for", "its", "growth-promoting", "effect", "in", "RAS-mediated", "malignant", "transformation", "[7,8].", "GRAF", "gene", "is", "located", "at", "chromo-", "some", "5q31", "and", "its", "protein", "is", "ubiquitously", "expressed", "in", "various", "tissues", "[9].", "Mutations", "and", "deletions", "of", "GRAF", "gene", "were", "found", "in", "some", "cases", "with", "AML", "or", "myelodys-", "plastic", "syndrome", "(MDS)", "with", "a", "deletion", "5q", "[9].", "Further-", "more,", "Bojesen", "et", "al", "[10]", "found", "that", "GRAF", "gene", "©", "2010", "Qian", "et", "al;", "licensee", "BioMed", "Central", "Ltd.", "This", "is", "an", "Open", "Access", "article", "distributed", "under", "the", "terms", "of", "the", "Creative", "Commons", "Attribution", "License", "(http://creativecommons.org/licenses/by/2.0),", "which", "permits", "unrestricted", "use,", "distribution,", "and", "reproduction", "in", "any", "medium,", "provided", "the", "original", "work", "is", "properly", "cited." ]
[ [ 78, 47, 22, 12 ], [ 103, 47, 9, 12 ], [ 115, 47, 11, 12 ], [ 130, 47, 33, 12 ], [ 166, 47, 9, 12 ], [ 179, 47, 58, 12 ], [ 240, 47, 7, 12 ], [ 250, 47, 32, 12 ], [ 286, 47, 31, 12 ], [ 320, 47, 40, 12 ], [ 363, 47, 25, 12 ], [ 392, 47, 32, 12 ], [ 78, 61, 184, 12 ], [ 83, 128, 11, 18 ], [ 96, 128, 10, 18 ], [ 107, 128, 10, 18 ], [ 119, 128, 10, 18 ], [ 130, 128, 12, 18 ], [ 144, 128, 11, 18 ], [ 156, 128, 11, 18 ], [ 169, 128, 13, 18 ], [ 641, 128, 44, 18 ], [ 691, 128, 53, 18 ], [ 78, 169, 96, 34 ], [ 185, 169, 121, 34 ], [ 315, 169, 138, 34 ], [ 463, 169, 58, 34 ], [ 532, 169, 44, 34 ], [ 586, 169, 63, 34 ], [ 78, 205, 121, 34 ], [ 209, 205, 83, 34 ], [ 302, 205, 86, 34 ], [ 399, 205, 125, 34 ], [ 534, 205, 51, 34 ], [ 595, 205, 85, 34 ], [ 78, 241, 127, 34 ], [ 215, 241, 25, 34 ], [ 250, 241, 106, 34 ], [ 367, 241, 58, 34 ], [ 435, 241, 106, 34 ], [ 552, 241, 173, 34 ], [ 78, 288, 30, 16 ], [ 113, 285, 35, 19 ], [ 152, 288, 21, 16 ], [ 177, 285, 39, 19 ], [ 221, 288, 30, 16 ], [ 256, 285, 25, 19 ], [ 285, 288, 68, 16 ], [ 357, 285, 30, 19 ], [ 391, 288, 21, 16 ], [ 416, 285, 39, 19 ], [ 459, 288, 38, 16 ], [ 501, 285, 16, 19 ], [ 522, 288, 23, 16 ], [ 549, 285, 18, 19 ], [ 571, 288, 41, 16 ], [ 617, 285, 33, 19 ], [ 654, 288, 56, 16 ], [ 715, 285, 15, 19 ], [ 87, 342, 54, 15 ], [ 87, 367, 76, 14 ], [ 167, 367, 40, 14 ], [ 211, 367, 51, 14 ], [ 266, 367, 58, 14 ], [ 328, 367, 25, 14 ], [ 356, 367, 19, 14 ], [ 379, 367, 27, 14 ], [ 410, 367, 51, 14 ], [ 465, 367, 34, 14 ], [ 503, 367, 38, 14 ], [ 545, 367, 7, 14 ], [ 556, 367, 46, 14 ], [ 605, 367, 35, 14 ], [ 644, 367, 60, 14 ], [ 708, 367, 31, 14 ], [ 87, 384, 8, 14 ], [ 100, 384, 34, 14 ], [ 137, 384, 61, 14 ], [ 202, 384, 11, 14 ], [ 217, 384, 81, 14 ], [ 303, 384, 73, 14 ], [ 380, 384, 14, 14 ], [ 398, 384, 32, 14 ], [ 434, 384, 42, 14 ], [ 480, 384, 12, 14 ], [ 496, 384, 59, 14 ], [ 559, 384, 77, 14 ], [ 640, 384, 52, 14 ], [ 697, 384, 19, 14 ], [ 87, 400, 59, 14 ], [ 150, 400, 26, 14 ], [ 180, 400, 11, 14 ], [ 196, 400, 29, 14 ], [ 228, 400, 29, 14 ], [ 261, 400, 19, 14 ], [ 285, 400, 19, 14 ], [ 308, 400, 17, 14 ], [ 330, 400, 29, 14 ], [ 362, 400, 41, 14 ], [ 408, 400, 11, 14 ], [ 423, 400, 52, 14 ], [ 479, 400, 21, 14 ], [ 504, 400, 21, 14 ], [ 529, 400, 11, 14 ], [ 545, 400, 20, 14 ], [ 569, 400, 30, 14 ], [ 604, 400, 22, 14 ], [ 629, 400, 12, 14 ], [ 645, 400, 60, 14 ], [ 710, 400, 19, 14 ], [ 87, 417, 59, 14 ], [ 150, 417, 26, 14 ], [ 180, 417, 11, 14 ], [ 196, 417, 29, 14 ], [ 228, 417, 29, 14 ], [ 261, 417, 11, 14 ], [ 276, 417, 31, 14 ], [ 311, 417, 44, 14 ], [ 360, 417, 25, 14 ], [ 389, 417, 45, 14 ], [ 438, 417, 73, 14 ], [ 515, 417, 52, 14 ], [ 571, 417, 31, 14 ], [ 606, 417, 45, 14 ], [ 656, 417, 50, 14 ], [ 87, 434, 35, 14 ], [ 126, 434, 88, 14 ], [ 219, 434, 56, 14 ], [ 279, 434, 34, 14 ], [ 316, 434, 22, 14 ], [ 342, 434, 41, 14 ], [ 388, 434, 45, 14 ], [ 437, 434, 50, 14 ], [ 491, 434, 35, 14 ], [ 87, 454, 56, 14 ], [ 148, 454, 21, 14 ], [ 173, 454, 59, 14 ], [ 236, 454, 31, 14 ], [ 271, 454, 11, 14 ], [ 286, 454, 28, 14 ], [ 319, 454, 52, 14 ], [ 375, 454, 28, 14 ], [ 407, 454, 65, 14 ], [ 476, 454, 11, 14 ], [ 491, 454, 14, 14 ], [ 509, 454, 45, 14 ], [ 558, 454, 30, 14 ], [ 592, 454, 49, 14 ], [ 646, 454, 66, 14 ], [ 716, 454, 22, 14 ], [ 87, 471, 52, 14 ], [ 143, 471, 39, 14 ], [ 187, 471, 21, 14 ], [ 213, 471, 56, 14 ], [ 273, 471, 25, 14 ], [ 302, 471, 11, 14 ], [ 317, 471, 30, 14 ], [ 352, 471, 45, 14 ], [ 400, 471, 28, 14 ], [ 432, 471, 51, 14 ], [ 487, 471, 21, 14 ], [ 513, 471, 51, 14 ], [ 87, 492, 46, 14 ], [ 137, 492, 21, 14 ], [ 162, 492, 65, 14 ], [ 232, 492, 57, 14 ], [ 293, 492, 26, 14 ], [ 322, 492, 11, 14 ], [ 338, 492, 28, 14 ], [ 370, 492, 52, 14 ], [ 426, 492, 22, 14 ], [ 452, 492, 51, 14 ], [ 508, 492, 11, 14 ], [ 523, 492, 29, 14 ], [ 556, 492, 45, 14 ], [ 605, 492, 73, 14 ], [ 682, 492, 57, 14 ], [ 87, 508, 12, 14 ], [ 103, 508, 47, 14 ], [ 155, 508, 36, 14 ], [ 195, 508, 28, 14 ], [ 227, 508, 29, 14 ], [ 261, 508, 22, 14 ], [ 286, 508, 15, 14 ], [ 306, 508, 56, 14 ], [ 365, 508, 11, 14 ], [ 380, 508, 19, 14 ], [ 403, 508, 26, 14 ], [ 433, 508, 11, 14 ], [ 449, 508, 28, 14 ], [ 481, 508, 52, 14 ], [ 537, 508, 40, 14 ], [ 582, 508, 47, 14 ], [ 633, 508, 22, 14 ], [ 659, 508, 50, 14 ], [ 87, 525, 11, 14 ], [ 102, 525, 9, 14 ], [ 115, 525, 29, 14 ], [ 147, 525, 57, 14 ], [ 208, 525, 22, 14 ], [ 234, 525, 19, 14 ], [ 257, 525, 51, 14 ], [ 313, 525, 11, 14 ], [ 328, 525, 19, 14 ], [ 350, 525, 44, 14 ], [ 398, 525, 11, 14 ], [ 414, 525, 28, 14 ], [ 446, 525, 35, 14 ], [ 486, 525, 49, 14 ], [ 539, 525, 25, 14 ], [ 569, 525, 11, 14 ], [ 583, 525, 42, 14 ], [ 629, 525, 33, 14 ], [ 666, 525, 22, 14 ], [ 692, 525, 47, 14 ], [ 87, 542, 14, 14 ], [ 105, 542, 25, 14 ], [ 134, 542, 64, 14 ], [ 203, 542, 28, 14 ], [ 235, 542, 52, 14 ], [ 291, 542, 65, 14 ], [ 361, 542, 59, 14 ], [ 424, 542, 11, 14 ], [ 439, 542, 29, 14 ], [ 472, 542, 29, 14 ], [ 505, 542, 30, 14 ], [ 539, 542, 25, 14 ], [ 568, 542, 15, 14 ], [ 587, 542, 46, 14 ], [ 637, 542, 22, 14 ], [ 663, 542, 31, 14 ], [ 698, 542, 28, 14 ], [ 87, 558, 52, 14 ], [ 143, 558, 26, 14 ], [ 173, 558, 23, 14 ], [ 200, 558, 44, 14 ], [ 248, 558, 15, 14 ], [ 267, 558, 46, 14 ], [ 317, 558, 46, 14 ], [ 367, 558, 23, 14 ], [ 394, 558, 12, 14 ], [ 410, 558, 26, 14 ], [ 440, 558, 11, 14 ], [ 455, 558, 9, 14 ], [ 468, 558, 29, 14 ], [ 87, 579, 70, 14 ], [ 161, 579, 19, 14 ], [ 184, 579, 36, 14 ], [ 224, 579, 71, 14 ], [ 299, 579, 22, 14 ], [ 326, 579, 19, 14 ], [ 348, 579, 28, 14 ], [ 381, 579, 52, 14 ], [ 437, 579, 8, 14 ], [ 450, 579, 57, 14 ], [ 511, 579, 11, 14 ], [ 526, 579, 45, 14 ], [ 575, 579, 75, 14 ], [ 78, 625, 77, 15 ], [ 78, 642, 32, 14 ], [ 115, 642, 53, 14 ], [ 173, 642, 38, 14 ], [ 216, 642, 39, 14 ], [ 260, 642, 7, 14 ], [ 271, 642, 79, 14 ], [ 355, 642, 48, 14 ], [ 78, 659, 36, 14 ], [ 119, 659, 23, 14 ], [ 146, 659, 40, 14 ], [ 190, 659, 11, 14 ], [ 205, 659, 18, 14 ], [ 228, 659, 25, 14 ], [ 258, 659, 12, 14 ], [ 274, 659, 45, 14 ], [ 323, 659, 57, 14 ], [ 384, 659, 19, 14 ], [ 78, 675, 31, 14 ], [ 116, 675, 15, 14 ], [ 138, 675, 62, 14 ], [ 207, 675, 24, 14 ], [ 239, 675, 12, 14 ], [ 258, 675, 20, 14 ], [ 284, 675, 72, 14 ], [ 363, 675, 12, 14 ], [ 382, 675, 22, 14 ], [ 78, 692, 47, 14 ], [ 134, 692, 82, 14 ], [ 225, 692, 48, 14 ], [ 282, 692, 23, 14 ], [ 313, 692, 61, 14 ], [ 382, 692, 21, 14 ], [ 78, 708, 52, 14 ], [ 135, 708, 26, 14 ], [ 165, 708, 19, 14 ], [ 188, 708, 27, 14 ], [ 220, 708, 34, 14 ], [ 258, 708, 12, 14 ], [ 274, 708, 14, 14 ], [ 292, 708, 81, 14 ], [ 377, 708, 26, 14 ], [ 78, 725, 13, 14 ], [ 95, 725, 77, 14 ], [ 176, 725, 51, 14 ], [ 232, 725, 21, 14 ], [ 258, 725, 58, 14 ], [ 320, 725, 25, 14 ], [ 350, 725, 54, 14 ], [ 78, 742, 51, 14 ], [ 134, 742, 77, 14 ], [ 217, 742, 22, 14 ], [ 244, 742, 76, 14 ], [ 325, 742, 12, 14 ], [ 342, 742, 61, 14 ], [ 78, 758, 26, 14 ], [ 109, 758, 12, 14 ], [ 125, 758, 42, 14 ], [ 172, 758, 34, 14 ], [ 210, 758, 30, 14 ], [ 245, 758, 20, 14 ], [ 269, 758, 26, 14 ], [ 300, 758, 57, 14 ], [ 361, 758, 42, 14 ], [ 78, 775, 48, 14 ], [ 131, 775, 23, 14 ], [ 159, 775, 49, 14 ], [ 212, 775, 62, 14 ], [ 279, 775, 12, 14 ], [ 295, 775, 26, 14 ], [ 325, 775, 22, 14 ], [ 352, 775, 52, 14 ], [ 78, 791, 12, 14 ], [ 94, 791, 42, 14 ], [ 141, 791, 53, 14 ], [ 198, 791, 26, 14 ], [ 228, 791, 22, 14 ], [ 254, 791, 59, 14 ], [ 318, 791, 26, 14 ], [ 348, 791, 56, 14 ], [ 78, 808, 27, 14 ], [ 110, 808, 59, 14 ], [ 173, 808, 54, 14 ], [ 231, 808, 56, 14 ], [ 291, 808, 21, 14 ], [ 317, 808, 27, 14 ], [ 348, 808, 56, 14 ], [ 78, 825, 30, 14 ], [ 112, 825, 14, 14 ], [ 131, 825, 11, 14 ], [ 147, 825, 10, 14 ], [ 162, 825, 44, 14 ], [ 210, 825, 23, 14 ], [ 238, 825, 26, 14 ], [ 268, 825, 51, 14 ], [ 324, 825, 52, 14 ], [ 380, 825, 23, 14 ], [ 78, 841, 76, 14 ], [ 159, 841, 12, 14 ], [ 176, 841, 137, 14 ], [ 318, 841, 86, 14 ], [ 78, 858, 25, 14 ], [ 107, 858, 19, 14 ], [ 130, 858, 34, 14 ], [ 169, 858, 11, 14 ], [ 184, 858, 10, 14 ], [ 198, 858, 22, 14 ], [ 225, 858, 54, 14 ], [ 283, 858, 25, 14 ], [ 312, 858, 12, 14 ], [ 328, 858, 21, 14 ], [ 353, 858, 12, 14 ], [ 369, 858, 34, 14 ], [ 78, 875, 38, 14 ], [ 122, 875, 62, 14 ], [ 189, 875, 42, 14 ], [ 237, 875, 12, 14 ], [ 255, 875, 33, 14 ], [ 293, 875, 49, 14 ], [ 348, 875, 56, 14 ], [ 78, 891, 39, 14 ], [ 121, 891, 19, 14 ], [ 78, 925, 5, 11 ], [ 86, 925, 70, 11 ], [ 159, 925, 111, 11 ], [ 78, 936, 54, 13 ], [ 136, 937, 9, 11 ], [ 147, 937, 53, 11 ], [ 204, 937, 37, 11 ], [ 243, 937, 35, 11 ], [ 281, 937, 34, 11 ], [ 318, 937, 9, 11 ], [ 330, 937, 31, 11 ], [ 78, 950, 43, 11 ], [ 124, 950, 44, 11 ], [ 171, 950, 31, 11 ], [ 205, 950, 32, 11 ], [ 240, 950, 24, 11 ], [ 78, 962, 15, 11 ], [ 96, 962, 12, 11 ], [ 111, 962, 9, 11 ], [ 123, 962, 28, 11 ], [ 153, 962, 49, 11 ], [ 205, 962, 6, 11 ], [ 215, 962, 36, 11 ], [ 254, 962, 8, 11 ], [ 265, 962, 14, 11 ], [ 282, 962, 16, 11 ], [ 302, 962, 9, 11 ], [ 313, 962, 14, 11 ], [ 330, 962, 25, 11 ], [ 434, 625, 27, 14 ], [ 466, 625, 45, 14 ], [ 517, 625, 10, 14 ], [ 532, 625, 62, 14 ], [ 599, 625, 12, 14 ], [ 616, 625, 15, 14 ], [ 636, 625, 69, 14 ], [ 710, 625, 38, 14 ], [ 423, 642, 50, 14 ], [ 479, 642, 6, 14 ], [ 490, 642, 43, 14 ], [ 539, 642, 39, 14 ], [ 584, 642, 50, 14 ], [ 640, 642, 23, 14 ], [ 668, 642, 6, 14 ], [ 680, 642, 68, 14 ], [ 423, 659, 43, 14 ], [ 470, 659, 23, 14 ], [ 497, 659, 47, 14 ], [ 549, 659, 18, 14 ], [ 571, 659, 27, 14 ], [ 603, 659, 51, 14 ], [ 658, 659, 51, 14 ], [ 713, 659, 35, 14 ], [ 423, 675, 56, 14 ], [ 484, 675, 70, 14 ], [ 560, 675, 18, 14 ], [ 582, 675, 36, 14 ], [ 624, 675, 71, 14 ], [ 701, 675, 12, 14 ], [ 719, 675, 30, 14 ], [ 423, 692, 59, 14 ], [ 486, 692, 27, 14 ], [ 517, 692, 18, 14 ], [ 540, 692, 63, 14 ], [ 608, 692, 21, 14 ], [ 633, 692, 62, 14 ], [ 699, 692, 49, 14 ], [ 423, 708, 28, 14 ], [ 456, 708, 29, 14 ], [ 490, 708, 39, 14 ], [ 534, 708, 13, 14 ], [ 551, 708, 48, 14 ], [ 605, 708, 27, 14 ], [ 637, 708, 67, 14 ], [ 710, 708, 27, 14 ], [ 741, 708, 7, 14 ], [ 423, 725, 38, 14 ], [ 465, 725, 11, 14 ], [ 480, 725, 30, 14 ], [ 515, 725, 46, 14 ], [ 566, 725, 39, 14 ], [ 608, 725, 17, 14 ], [ 629, 725, 55, 14 ], [ 689, 725, 11, 14 ], [ 704, 725, 26, 14 ], [ 734, 725, 14, 14 ], [ 423, 742, 51, 14 ], [ 478, 742, 13, 14 ], [ 496, 742, 31, 14 ], [ 531, 742, 20, 14 ], [ 556, 742, 41, 14 ], [ 602, 742, 54, 14 ], [ 661, 742, 12, 14 ], [ 677, 742, 24, 14 ], [ 705, 742, 12, 14 ], [ 721, 742, 27, 14 ], [ 423, 758, 58, 14 ], [ 484, 758, 11, 14 ], [ 500, 758, 48, 14 ], [ 552, 758, 42, 14 ], [ 598, 758, 53, 14 ], [ 655, 758, 19, 14 ], [ 434, 775, 48, 14 ], [ 489, 775, 57, 14 ], [ 552, 775, 64, 14 ], [ 622, 775, 27, 14 ], [ 656, 775, 30, 14 ], [ 693, 775, 55, 14 ], [ 423, 791, 37, 14 ], [ 464, 791, 45, 14 ], [ 514, 791, 10, 14 ], [ 528, 791, 6, 14 ], [ 539, 791, 34, 14 ], [ 577, 791, 55, 14 ], [ 637, 791, 43, 14 ], [ 684, 791, 64, 14 ], [ 423, 808, 44, 14 ], [ 471, 808, 12, 14 ], [ 488, 808, 19, 14 ], [ 511, 808, 69, 14 ], [ 585, 808, 37, 14 ], [ 626, 808, 12, 14 ], [ 642, 808, 19, 14 ], [ 665, 808, 42, 14 ], [ 711, 808, 37, 14 ], [ 423, 825, 22, 14 ], [ 449, 825, 12, 14 ], [ 467, 825, 27, 14 ], [ 499, 825, 22, 14 ], [ 526, 825, 61, 14 ], [ 592, 825, 55, 14 ], [ 652, 825, 19, 14 ], [ 677, 825, 32, 14 ], [ 714, 825, 34, 14 ], [ 423, 841, 47, 14 ], [ 476, 841, 46, 14 ], [ 527, 841, 38, 14 ], [ 572, 841, 37, 14 ], [ 615, 841, 10, 14 ], [ 631, 841, 25, 14 ], [ 662, 841, 41, 14 ], [ 709, 841, 18, 14 ], [ 733, 841, 15, 14 ], [ 423, 858, 112, 14 ], [ 540, 858, 33, 14 ], [ 578, 858, 12, 14 ], [ 595, 858, 87, 14 ], [ 687, 858, 61, 14 ], [ 423, 875, 88, 14 ], [ 515, 875, 30, 14 ], [ 549, 875, 35, 14 ], [ 589, 875, 27, 14 ], [ 621, 875, 10, 14 ], [ 635, 875, 42, 14 ], [ 682, 875, 11, 14 ], [ 697, 875, 51, 14 ], [ 423, 891, 31, 14 ], [ 458, 891, 29, 14 ], [ 491, 891, 22, 14 ], [ 518, 891, 14, 14 ], [ 536, 891, 43, 14 ], [ 583, 891, 10, 14 ], [ 597, 891, 73, 14 ], [ 675, 891, 57, 14 ], [ 736, 891, 12, 14 ], [ 423, 908, 44, 14 ], [ 471, 908, 40, 14 ], [ 516, 908, 20, 14 ], [ 542, 908, 62, 14 ], [ 609, 908, 22, 14 ], [ 636, 908, 55, 14 ], [ 695, 908, 12, 14 ], [ 712, 908, 36, 14 ], [ 423, 924, 27, 14 ], [ 454, 924, 28, 14 ], [ 486, 924, 34, 14 ], [ 524, 924, 12, 14 ], [ 540, 924, 30, 14 ], [ 574, 924, 29, 14 ], [ 608, 924, 25, 14 ], [ 638, 924, 30, 14 ], [ 672, 924, 13, 14 ], [ 689, 924, 59, 14 ], [ 423, 941, 37, 14 ], [ 464, 941, 56, 14 ], [ 524, 941, 39, 14 ], [ 567, 941, 25, 14 ], [ 597, 941, 7, 14 ], [ 607, 941, 46, 14 ], [ 658, 941, 15, 14 ], [ 676, 941, 19, 14 ], [ 700, 941, 48, 14 ], [ 423, 957, 36, 14 ], [ 467, 957, 48, 14 ], [ 523, 957, 12, 14 ], [ 544, 957, 11, 14 ], [ 563, 957, 25, 14 ], [ 596, 957, 36, 14 ], [ 641, 957, 25, 14 ], [ 674, 957, 36, 14 ], [ 719, 957, 29, 14 ], [ 248, 987, 7, 10 ], [ 256, 987, 19, 10 ], [ 277, 987, 18, 10 ], [ 298, 987, 8, 10 ], [ 308, 987, 8, 10 ], [ 318, 987, 30, 10 ], [ 351, 987, 29, 10 ], [ 382, 987, 27, 10 ], [ 412, 987, 14, 10 ], [ 428, 987, 15, 10 ], [ 446, 987, 6, 10 ], [ 454, 987, 10, 10 ], [ 466, 987, 21, 10 ], [ 490, 987, 25, 10 ], [ 518, 987, 23, 10 ], [ 543, 987, 41, 10 ], [ 586, 987, 23, 10 ], [ 611, 987, 13, 10 ], [ 626, 987, 22, 10 ], [ 650, 987, 8, 10 ], [ 660, 987, 13, 10 ], [ 676, 987, 31, 10 ], [ 709, 987, 39, 10 ], [ 248, 998, 41, 10 ], [ 291, 998, 28, 10 ], [ 322, 998, 171, 10 ], [ 496, 998, 23, 10 ], [ 522, 998, 29, 10 ], [ 553, 998, 45, 10 ], [ 601, 998, 15, 10 ], [ 618, 998, 45, 10 ], [ 666, 998, 15, 10 ], [ 683, 998, 49, 10 ], [ 736, 998, 7, 10 ], [ 248, 1009, 14, 10 ], [ 264, 1009, 34, 10 ], [ 300, 1009, 34, 10 ], [ 337, 1009, 13, 10 ], [ 352, 1009, 28, 10 ], [ 384, 1009, 19, 10 ], [ 405, 1009, 6, 10 ], [ 414, 1009, 32, 10 ], [ 448, 1009, 21, 10 ] ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 16, 16, 16, 16, 16, 16, 16, 16, 9, 9, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 6, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 5, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 3, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9, 9 ]

No dataset card yet

New: Create and edit this dataset card directly on the website!

Contribute a Dataset Card
Downloads last month
6
Add dataset card