13 and 0 62 mu g/ml, respectively “
“Foamy virus

13 and 0.62 mu g/ml, respectively.”
“Foamy virus Galardin research buy contains two promoters, which are the canonical long terminal repeat (LTR) promoter and the internal promoter

(IP). FV gene expression was considered to initiate at the internal promoter. However, little was known about how basal transcription of IP was triggered by the host cellular factors. Previous studies found some cellular proteins could affect HFV viral replication, but it was no known whether the AP1 signal pathway was involved in the activation of viral replication or not. In this study, we reported that treatment with TPA or AP1 increased basal transcription of IP and did not affect basal transcription of the promoter in the LTR. In addition, the c-Jun mutant blocked the IP activity stimulated by TPA. Two AP1 binding sites located in BFV-IP promoter were found by bioinformatics and mutants of two AP1 binding sites decreased luciferase reporter activity of IP activated by AP1. EMSA assay showed that two AP1 binding sites could bind to c-Jun/c-Fos heterodimeric. check details We also found TPA and AP1 enhanced BFV3026 replication. Taken together, these data suggested that AP1 was a positive regulator

of BFV internal promoter. (c) 2009 Elsevier B.V. All rights reserved.”
“Background and purpose: Local treatment for non-metastatic Ewing’s sarcoma family tumors (ESFTs) is controversial. Results achieved in a single institution in patients with ESFT of the humerus are presented.\n\nMaterials and methods: Patients treated between 1983 and 2000 for ESFT of the humerus were included. The impact of local treatment (surgery, radiotherapy or both) on outcome was assessed.\n\nResults: 55 patients: 34 males (62%); 21 females (38%); mean age: 17.9 (range: 3-40). Local treatment: surgery in 27 patients (49%), radiotherapy in 17 (31%) and surgery followed by radiotherapy in 11 (20%). After a mean follow-up of 15 years (range: 7-25 years), 27 patients (49%) remained continuously disease free, 27 (49%) relapsed and one died of chemotherapy toxicity. The local recurrence rate was 13% overall: 18% (3/17) after radiotherapy, 7% (2/27) after surgery and 19% (2/11)

learn more after surgery followed by adjuvant radiotherapy (p = ns). On the contrary, the 10-year EFS resulted significantly higher after surgery (64%) than radiotherapy (18%, p < 0.01). The 10-year EFS after surgery followed by radiotherapy was 45%, non-significantly different from EFS of surgery or radiotherapy alone. The 3 treatment groups had a similar distribution of the most important prognostic variables for ESFT, except for the tumor-bone ratio, which was higher for patients who underwent radiotherapy, and surgical margins, more frequently inadequate in patients treated with a combination of radiotherapy and surgery compared to those managed by surgery alone.\n\nConclusions: In conclusion this study shows that in EFST of the humerus Surgery is the best treatment for small tumors.

We conclude that zebrafish embryos are particularly sensitive to

We conclude that zebrafish embryos are particularly sensitive to potential disruptors of the RAR/RXR regulatory system. (C) 2013 Elsevier Ltd. All rights reserved.”
“Background: Purple nonsulfur bacteria (PNSB) are facultative photosynthetic bacteria and exhibit an extremely versatile metabolism. A central focus of research on PNSB dealt with the elucidation of mechanisms PP2 datasheet by which they manage to balance cellular redox under diverse conditions, in particular under photoheterotrophic growth.\n\nResults:

Given the complexity of the central metabolism of PNSB, metabolic modeling becomes crucial for an integrated analysis of the accumulated biological knowledge. We reconstructed a stoichiometric model capturing the central metabolism of three important representatives of PNSB (Rhodospirillum

rubrum, Rhodobacter sphaeroides and Rhodopseudomonas palustris). Using flux variability analysis, the model reveals key metabolic constraints related to redox homeostasis in these bacteria. With the help of the model we can (i) give quantitative explanations for non-intuitive, partially species-specific phenomena of photoheterotrophic growth of PNSB, (ii) reproduce various quantitative experimental data, and (iii) formulate several new hypotheses. For example, model analysis of photoheterotrophic growth reveals that – despite a large number of utilizable catabolic pathways – substrate-specific biomass and CO(2) yields are fixed constraints, irrespective of the assumption of optimal growth. Furthermore, our model explains quantitatively why a CO(2) fixing pathway such as the Calvin cycle is required Selleck GSK3326595 by PNSB for many substrates (even if CO(2) is released). We also analyze the role of other pathways potentially involved in redox metabolism and how

they affect quantitatively the required capacity of the Calvin cycle. Our model also selleck products enables us to discriminate between different acetate assimilation pathways that were proposed recently for R. sphaeroides and R. rubrum, both lacking the isocitrate lyase. Finally, we demonstrate the value of the metabolic model also for potential biotechnological applications: we examine the theoretical capabilities of PNSB for photoheterotrophic hydrogen production and identify suitable genetic interventions to increase the hydrogen yield.\n\nConclusions: Taken together, the metabolic model (i) explains various redox-related phenomena of the versatile metabolism of PNSB, (ii) delivers new hypotheses on the operation and relevance of several metabolic pathways, and (iii) holds significant potential as a tool for rational metabolic engineering of PNSB in biotechnological applications.”
“For the first time the rhodium-catalyzed 1,4-addition of organoboranes to hindered Baylis-Hillman adducts, trisubstituted alkenes, affording highly functionalized alkenes, via addition of the organoboranes and hydroxyelimination, is reported.

Assessment of the rotations of the trunk during walking with an a

Assessment of the rotations of the trunk during walking with an abnormal gait can provide knowledge required for a better understanding of the nature of the motor control deficit and support decision-making in patient rehabilitation. A method based on the use of a weighted Fourier linear combiner (WFLC) adaptive filter is proposed in this paper for the estimation of lower trunk angles during pathological overground level walking, using angular velocities measured at the lower trunk level with a wearable inertial sensor. This method was validated for a group of 24 patients, 13 with hemiplegia and 11 with Parkinson’s disease, by comparing the estimated angles to those simultaneously

obtained from a stereophotogrammetric system. Analysis of the root mean square error, correlation coefficient and offset results revealed that the WFLC approach is highly accurate in estimating lateral and frontal bending buy AC220 and axial rotations of the lower trunk in pathological level walking. (C) 2013 Elsevier B.V. All rights reserved.”
“This

selleck screening library study compared the ileal contractility and analyzed the association between contractility with advanced glycation end product (AGE) formation in normal and streptozotocin (STZ)-induced diabetic rats. Nine STZ-induced diabetic rats (Diabetes group) and 9 normal rats (Normal group) were used. The motility experiments were carried out on ileums in organ baths containing physiological Krebs solution. heal pressure and diameter changes were obtained from basic, flow-induced and ramp distension-induced contractions. The frequency and amplitude of contractions were analyzed from pressure-diameter curves. Distension-induced contraction thresholds

and maximum contraction amplitude of basic and flow-induced contractions were calculated in terms of stress and strain. AGE and its receptor (RAGE) in the layers were detected by immunohistochemistry staining. The maximum stress of flow-induced contractions was lowest in the Diabetes Group (P smaller than 0.05). During ramp distension, the pressure and stress thresholds and Young’s modulus to induce phasic contraction were lowest in the Diabetes Group (P smaller than 0.05 and P smaller than 0.01). AGE and RAGE expressions in the different ileum layers were highest in the Diabetes group. The contraction pressure MEK inhibitor and stress thresholds were significantly associated with AGE expression in the muscle layer and RAGE expression in mucosa epithelium and neurons. The diabetic intestine was hypersensitive to distension for contraction induction. However, the contraction force produced by smooth muscle was lowest in diabetic rats. Increased AGE/RAGE expression was associated with the contractility changes in diabetic rats. (C) 2015 Elsevier Ltd. All rights reserved.”
“The authors report on the histologic and immunohistochemical analyses of a cerebral aneurysm embolized with platinum coils and with the longest observation period.


“Many studies of outpatient commitment have assessed effec


“Many studies of outpatient commitment have assessed effects on health service use rather than psychiatric symptomatology. We examined whether patients on one form of outpatient commitment, community treatment orders (CTOs), had better learn more outcomes on the Health of the Nation Outcome Scales (HoNOS). Cases and controls from three linked Western Australian databases were matched on age, sex, diagnosis and time of hospital discharge. These databases cover the entire state

(population=2.3 million). We compared HoNOS scores of CTO cases and controls at baseline, six-, and twelve-month follow-up, using multivariate analyses to further control for confounders. We identified 1296 CTO cases between 2004

and 2009 along with the same number of controls matched on age, sex, discharge date and mental health diagnosis (total n=2592). HoNOS scores were available for 1433 (55%) of the patients who could have had these recorded at baseline (748 CTO cases and 685 controls). There was no significant difference in HoNOS scores at six- and twelve-month follow-up between ON-01910 chemical structure CTO cases and controls after adjusting for potential confounders at each time-point. Although the study was limited by missing data, outpatient commitment in the form of CTOs may not result in better psychiatric outcomes as measured by the HoNOS. (C) 2014 Elsevier Ireland Ltd. All rights reserved.”
“Objective. Necrotizing and crescentic Adriamycin research buy GN usually presents with rapidly declining renal function, often in association with multisystem autoimmune disease, with a poor outcome if left untreated. We aimed to describe the features of patients who have presented with these histopathological findings but minimal disturbance of renal function. Methods. We conducted a retrospective review (1995-2011) of all adult patients with native renal biopsy-proven necrotizing or crescentic GN and normal serum creatinine ( smaller than 120 mu mol/l) at our centre. Results. Thirty-eight patients were identified. The median creatinine at presentation was 84 mu mol/l and the median proportion of glomeruli affected by necrosis or

crescents was 32%. Clinicopathological diagnoses were ANCA-associated GN (74%), LN (18%), anti-GBM disease (5%) and HScP (3%). Only 18% of cases had pre-existing diagnoses of underlying multisystem autoimmune disease, although the majority (89%) had extra-renal manifestations accompanying the renal diagnosis. All patients received immunosuppression and most had good long-term renal outcomes (median duration of follow-up 50 months), although two progressed to end-stage renal disease within 3 years. We estimate that renal biopsy had an important influence on treatment decisions in 82% of cases. Conclusion. Necrotizing and crescentic GN may present in patients with no or only minor disturbance of renal function.

06 and 3 75, P=0 006 and P<0 001, respectively) ARE within

06 and 3.75, P=0.006 and P<0.001, respectively). ARE within RSL3 supplier the first 2 posttransplant weeks did not increase the risk significantly,

especially if they occurred in nonsensitized patients without antibodies. Graft survival at 3 years in patients with both NIF and ARE during the first 3 months was significantly lower (81.3%+/- 6.2%) than in patients who did not experience NIF or ARE (95.1%+/- 1.0%, P<0.001). Importantly, neither NIF nor ARE had an impact on subsequent graft survival if good graft function (serum creatinine <130 mu mol/L) was observed at the end of the third month.\n\nConclusion. Our results show that NIF and ARE associated with pretransplant antibodies against HLA class 1, and they suggest that early diagnosis and BYL719 cost treatment of adverse events with the aim of obtaining normal 3-month graft function should be pursued rigorously. Good 3-month graft function is associated with excellent long-term survival, even in patients with pretransplant HLA antibodies and posuransplant adverse events.”
“The associations between bowel movement frequency, laxative use, and colorectal cancer

incidence remain uncertain. No published studies have accounted for potential latency between these factors and colorectal cancer onset.\n\nWe prospectively examined these associations among 88,173 women in the Nurses’ Health Study (NHS, 1982-2010) and 23,722 men in the Health Professionals Follow-up Study (HPFS, 2000-2010). Cox proportional hazards regression models were Stem Cell Compound Library research buy used to estimate multivariable hazard ratios (HRs, 95 % CIs). We conducted time lagged analyses to evaluate the potential

latency in the NHS.\n\nWe documented 2,012 incident colorectal cancer cases. The HRs (95 % CIs) for infrequent bowel movement relative to daily were 0.86 (95 % CI 0.71-1.04) in women and 0.81 (95 % CI 0.48-1.37) in men. The HRs for weekly to daily relative to never laxative use were 0.98 (95 % CI 0.81-1.20) in women and 1.41 (95 % CI 0.96-2.06) in men. In women, the HRs for every 3 days or less bowel movement relative to daily were 0.87 (95 % CI 0.59-1.27) for colorectal cancers that developed within 10 years of assessment, 1.03 (95 % CI 0.85-1.26) for 11-18 years after assessment, and 0.73 (95 % CI 0.54-1.01) for 19-28 years after assessment. The corresponding HRs for weekly to daily relative to never laxative use were 0.93 (95 % CI 0.63-1.37), 1.03 (95 % CI 0.74-1.44), and 0.98 (95 % CI 0.71-1.35), respectively.\n\nBowel movement frequency and laxative use appear not to be associated with colorectal cancer risk in this study.”
“Background and Objective: Asymptomatic stenosis of the carotid arteries is associated with stroke. Carotid revascularization can reduce the future risk of stroke but can also trigger an immediate stroke.

Recently a study illustrated the singular use of any of the most

Recently a study illustrated the singular use of any of the most frequently utilized questionnaires failed to significantly predict ankle stability status. Therefore, the purpose of this article was to present information related to the development of the Identification of Functional Ankle Instability (IdFAI). Methods: Volunteers (n = 278; 125 males, 153 females,

19.8 +/- 1.4 years) completed HDAC inhibitor mechanism the IdFAI on one occasion. An exploratory factor analysis was conducted with principal axis factoring as the extraction method with varimax rotation. Additionally, a discriminant function analysis was conducted to identify a discrimination score and to evaluate the accuracy of the questionnaire. Results: The factor analysis revealed: factor 1 (four questions) explained 53.7% of the variance, factor 2 (four questions) with an additional 17.4%, and factor 3 (two questions)

an additional 6.3%. Overall, these factors accounted for 77.4% of the variance. There was a distinct discrimination score of 10.3 to identify people who have the minimally accepted criteria for FM. Overall, the IdFAI has an accuracy of 89.6%. Conclusion: This investigation showed that the IdFAI was a feasible and appropriate way to identify individuals with FAI. Clinical Relevance: We suggest clinicians and researchers utilize the IdFAI to identify individuals with functional ankle instability since it is a short, simple, easy questionnaire HIF cancer to administer and take, and has been

shown to have excellent accuracy.”
“We investigated replicated ecological speciation in the livebearing fish Poecilia mexicana and P. sulphuraria (Poeciliidae), which inhabit freshwater habitats and have also colonized multiple sulfidic springs in southern Mexico. These springs exhibit extreme hypoxia and high concentrations of hydrogen sulfide, which is lethal to most metazoans. We used phylogenetic analyses to test whether springs were independently colonized, performed phenotypic assessments of body and gill morphology variation to identify convergent patterns of trait differentiation, and conducted an eco-toxicological experiment to detect differences in sulfide tolerances among ecotypes. MLN8237 in vitro Our results indicate that sulfidic springs were colonized by three different lineages, two within P. mexicana and one representing P. sulphuraria. Colonization occurred earlier in P. sulphuraria, whereas invasion of sulfidic springs in P. mexicana was more recent, such that each population is more closely related to neighboring populations from adjacent nonsulfidic habitats. Sulfide spring fish also show divergence from nonsulfidic phenotypes and a phenotypic convergence toward larger heads, larger gills, and increased tolerance to H2S.

Z from around TSSs to bodies of active genes during the transitio

Z from around TSSs to bodies of active genes during the transition from MYC-transformed to tumor cells, with DNA methylation lost from gene bodies where H2A.Z levels increased. No such redistributions

were observed during MYC-induced transformation of wild-type pre-B cells. The documented role of H2A.Z in regulating transcription suggests that 30% of genes have the potential to be aberrantly expressed during tumorigenesis. Our results imply that antagonism between H2A.Z deposition and DNA methylation is a conserved feature of eukaryotic genes, and that transcription-coupled H2A.Z changes may play a role in cancer initiation and progression.”
“Casey DP, Curry TB, Wilkins BW, Joyner MJ. Nitric oxide-mediated vasodilation becomes independent of beta-adrenergic receptor activation with see more increased

intensity of hypoxic exercise. J Appl Physiol 110: 687-694, 2011. First published December 30, 2010; doi:10.1152/japplphysiol.00787.2010.-Hypoxic vasodilation in skeletal muscle at rest is known to include beta-adrenergic receptor-stimulated nitric oxide (NO) release. We previously reported that the augmented https://www.selleckchem.com/products/mk-5108-vx-689.html skeletal muscle vasodilation during mild hypoxic forearm exercise includes beta-adrenergic mechanisms. However, it is unclear whether a beta-adrenergic receptor-stimulated NO component exists during hypoxic exercise. We hypothesized that NO-mediated vasodilation becomes independent of beta-adrenergic receptor activation with increased exercise intensity during hypoxic exercise. Ten subjects (7 men, 3 women; 23 +/- 1 yr) breathed hypoxic gas to titrate arterial O(2) saturation to 80% while remaining normocapnic. Subjects performed two consecutive bouts of incremental rhythmic forearm exercise (10% and 20% of maximum) with local administration (via a brachial artery catheter) of propranolol (beta-adrenergic

receptor inhibition) alone and with the combination of propranolol and nitric oxide synthase inhibition [NG-monomethyl-L-arginine (L-NMMA)] under normoxic and hypoxic conditions. Forearm blood flow (FBF, ml/min; Doppler ultrasound) and blood pressure [mean arterial pressure (MAP), mmHg; brachial artery catheter] were assessed, and forearm vascular conductance (FVC, ml.min(-1).100 mmHg(-1)) was calculated LY2835219 Cell Cycle inhibitor (FBF/MAP). During propranolol alone, the rise in FVC (Delta from normoxic baseline) due to hypoxic exercise was 217 +/- 29 and 415 +/- 41 ml.min(-1).100 mmHg(-1) (10% and 20% of maximum, respectively). Combined propranolol-L-NMMA infusion during hypoxic exercise attenuated Delta FVC at 20% (352 +/- 44 ml.min(-1).100 mmHg(-1); P < 0.001) but not at 10% (202 +/- 28 ml.min(-1).100 mmHg(-1); P = 0.08) of maximum compared with propranolol alone. These data, when integrated with earlier findings, demonstrate that NO contributes to the compensatory vasodilation during mild and moderate hypoxic exercise; a beta-adrenergic receptor-stimulated NO component exists during low-intensity hypoxic exercise.

Authors’ conclusionsThere are insufficient data to determ

\n\nAuthors’ conclusions\n\nThere are insufficient data to determine whether short-course metformin pretreatment is as effective as the conventional long-course metformin pretreatment before initiation of clomiphene citrate for ovulation induction in infertile women with PCOS. A well-designed randomised controlled trial is needed to answer this important clinical question.”
“The

abdominal wall is an often overlooked source of pain in children with chronic abdominal pain. For example, abdominal wall pain can be caused by Ferroptosis inhibitor the abdominal cutaneous nerve entrapment syndrome (ACNES). ACNES occurs in children as well as adults. In pediatrics, this diagnosis is largely unknown. ACNES is characterized by a sharp stabbing pain which characteristically increases with the use of abdominal muscles (Carnett’s sign). The pain is usually located in the lower right quadrant. Very

often patient go through a long clinical track, sometimes leading to frequent hospitalizations and unnecessary examinations. In some cases, children even end up in the psychiatric circuit because of misunderstood pain symptoms. We describe three illustrative cases of abdominal pain in which eventually ACNES was diagnosed and successfully treated with infiltration of an anesthetic agent, and we also performed a literature search. Conclusion: Stem Cell Compound Library chemical structure ACNES is a relatively unknown cause of abdominal pain in children. Diagnosis and treatment of ACNES are simply by local injection of anesthetics into the abdominal wall.”
“Religion is central to the lives of billions of people worldwide. To probe processing dynamics of religious cognition and Akt inhibitor its potential brain correlates, we used a novel priming procedure to assess the integrity of religious and control

semantic networks in patients with Parkinson’s disease (PD) and controls. Priming for control, but not religious, concepts was intact in PD patients. Patients with left-onset (right-forebrain disease) evidenced severe impairment activating religious concepts. We next modeled the priming performance with modified cable equations. These analyses suggested that deficient performance of PD patients on activation of religious concepts was due to a change in the time constants governing gain and rate of decay of activation in these semantic networks. These modeling results are consistent with dopaminergic dysfunction in right-sided striatal-prefrontal networks. We conclude that right striatal-prefrontal dopaminergic networks support activation of complex religious concepts but not equally complex and related control concepts. (JINS, 2010, 16, 252-261.)”
“The susceptibility of the grapevine rootstocks most commonly used in Spain to Cylindrocorpon liriodendri and C. macrodidymum was evaluated. Rooted cuttings of rootstocks 110-R, 1103-P, 140-R, 161-49C, 196-17C, Fercal and SO4 were inoculated by dipping their roots in conidial suspensions (5 x 10(5) conidia mL(-1)) of both pathogens and placed in a greenhouse.


“Purpose: To determine surgical outcomes after transcrania


“Purpose: To determine surgical outcomes after transcranial decompression of the superior Selleckchem JPH203 orbit in patients with progressive compressive optic neuropathy (CON) secondary to Graves’ orbitopathy

(GO) who had previously been treated with 3-wall decompression. Methods: Approval from the West Virginia University Institution Review Board was obtained. A retrospective review of 4 patients with GO who received bilateral transcranial decompression of the orbits for progressive compressive optic neuropathy after bilateral maximal extracranial 3-wall decompression was performed. The patients were treated by the Multidisciplinary Orbit and Skull Base Services at West Virginia University and the University of Michigan. Results: Bilateral transcranial decompression of the orbit for GO was performed on 8 orbits in 4 patients. All 8 orbits had radiographic evidence of compression of the orbital apex,

and all patients had been treated with steroids, orbital radiation, and bilateral 3-wall decompression. Preoperative vision ranged from 20/25 to 20/100, which improved to 20/25 or better in all eyes. The visual field mean this website deviation improved from a mean of -13.05 to -1.67 dB. Hertel measurements improved from a mean of 19.25 to 15.25 mm. Extraocular motility was essentially unchanged. Two patients were noted to have asymptomatic ocular pulsations. There were no other complications, and all patients remained stable during a follow-up period of 5 years (range 2-8 years). Conclusions: Transcranial decompression is an effective and safe method of salvaging vision when standard find more treatments fail. This

is only the second report of transcranial decompression for refractory compressive optic neuropathy after decompression from a standard approach.”
“A number of statistical techniques have been proposed by many authors to estimate the parameters in a linear structural relationship model, but only few papers discuss the precision of these estimators. In this study, we derive the maximum likelihood estimate (MLE) of the parameters by assuming the slope parameter beta is known. beta is estimated separately by a nonparametric method and is assumed to be known when other parameters are estimated by an MLE. We obtain closed-form estimates of parameters as well as the variance-covariance matrix. Using a simulation study and a real-world example we show that the estimated values of the parameters are unbiased and consistent.”
“Background and Aims. Little evidence exists regarding the association of leptin with metabolic syndrome (MetS) as defined by conventional criteria. Moreover, the contribution of obesity to this relationship is not well understood. This study aimed to evaluate the association between leptin concentrations with MetS in obese and nonobese subjects.\n\nMethods. Data from the Third National Surveillance of Risk Factors of Non-Communicable Diseases (SuRFNCD) in Iran was used.

This is ascribed to the natural drop in plasma androgen levels af

This is ascribed to the natural drop in plasma androgen levels after breeding. However, in the groups concurrently exposed to levonorgestrel, transition to the non-breeding condition was dose-dependently inhibited. Our results show that levonorgestrel can disrupt the seasonal breeding

cycle in male sticklebacks. The fitness costs of such an effect could be detrimental to natural stickleback populations. Some effects occurred at a levonorgestrel concentration of 6.5 ng L-1, well within the range of levonorgestrel levels in surface waters and may therefore occur in progestin-contaminated waters. Furthermore, selleck inhibitor the effects by levonorgestrel in the present study were likely mediated mainly by its androgenic activity, and the low concentration at which they occurred makes levonorgestrel one of the most potent androgenic contaminants known. (C) 2013 Elsevier B.V. All rights reserved.”
“Humans have and hold 100 trillion intestinal bacteria that are essential for health. For millions of years human-microorganisms interaction has co-evolved, and maintained close symbiotic relationship. Gut bacteria contributes to human health and metabolism, and humans provides

the optimum nutrition-rich environment for bacteria. What is the mechanism of the host distinguishing the intestinal bacteria as its cohabiting partner and what kind of benefits does the gut nnicrobiota provide the human are the fundamental questions to be asked and solved in order to make human life a higher quality. This LOXO-101 research buy review explains the physiological relationship and mutualism between the host and gut microorganism, and highlights the potential therapeutic approach for www.selleckchem.com/products/px-478-2hcl.html treating diseases, maintaining and improving health based on these correlations.”
“Purpose: To compare immediate nephroureterectomy with delayed nephroureterectomy after a trial of nephron-sparing endoscopic surgery in patients who were treated initially at our institution

from 1996 to 2004 for upper tract urothelial carcinoma. Patients were monitored for upper tract recurrences, metastases, cancer-specific and overall survival. Survival outcomes and perioperative measurements were compared between treatment groups.\n\nResults: Of 73 patients, 62 underwent immediate nephroureterectomy and 11 proceeded to nephroureterectomy after failed endoscopic management. Mean follow-up for all patients was 58 months and 75 months for patients who were alive at last follow-up. Patients treated initially with endoscopy averaged a surveillance procedure every 3.7 months and had a median delay to nephroureterectomy of 10 months. Perioperative measurements at time of nephroureterectomy did not differ between groups.