Our results suggest that epigenetic down-regulation of TMEM25 is

Our results suggest that epigenetic down-regulation of TMEM25 is cancer-related; AZD1208 order we thus suggest that TMEM25 hypermethylation might play a significant role in altering expression of this gene in colorectal cancer.”
“We prepared starch films by jet-cooking aqueous dispersions of high-amylose starch and then allowing the jet-cooked dispersions

to air-dry on Teflon surfaces. When the starch films were immersed in 1% solutions of polyethylene (PE) in 1-dodecanol, dodecane, and xylene at 120 degrees C and the solutions were allowed to slowly cool, PE precipitated from the solutions and adsorbed onto the starch film surfaces. Fourier transform infrared spectroscopy was used to estimate the micrograms see more of PE adsorbed per square centimeter of starch film. PE was preferentially adsorbed onto the film side that was in contact with the Teflon surface during drying. The amount of PE adsorbed ranged from about 8 to 45 mu g/cm(2) and depended upon the solvent used and the final temperature of the cooled solution. Scanning electron microscopy of the starch film surfaces showed discontinuous networks of adsorbed PE on the Teflon side and widely spaced nodules of adsorbed PE on the air side. NMR analysis showed that the PE adsorbed onto the starch surface was more linear and/or had a higher molecular weight than the starting PE. Possible

reasons for the selective adsorption of PE onto the Teflon side of the starch GSK2245840 film surface are discussed. (C) 2009 Wiley

Periodicals, Inc.(dagger) J Appl Polym Sci 114: 1840-1847, 2009″
“III-V semiconductor field effect transistors require an insulator/channel interface with a low density of electrically active defects and a minimal interface dipole to avoid Fermi level pinning. We demonstrate that an atomically abrupt and unpinned interface can be formed between an In0.53Ga0.47As (100) channel and an Al2O3 dielectric layer grown by atomic layer deposition (ALD) when oxidation of the substrate surface is prevented before and during oxide deposition. X-ray photoelectron spectra and electron microscopy indicate that in situ desorption of a protective As-2 layer on the In0.53Ga0.47As (100)-4×2 surface followed by ALD of Al2O3 produced an atomically abrupt interface without Fermi level pinning. Temperature-dependent and frequency-dependent capacitance-voltage and conductance-voltage analysis of the resulting Pt/Al2O3/InGaAs capacitors are consistent with movement of the Fermi level through the InGaAs band gap. Moreover, the nearly ideal flat band voltages observed for gate metals of widely varying work function indicate a small oxide/semiconductor interface dipole. Density functional theory calculations of the electronic structure of an ideal amorphous Al2O3/InGaAs (100) interface predict a weak perturbation of the InGaAs electronic structure if its oxidation is avoided, consistent with experiment.

0%, 6 0%, and 10%, respectively)

ConclusionFetuses wi

0%, 6.0%, and 10%, respectively).

ConclusionFetuses with Ebstein’s anomaly during labor were likely to exhibit absent acceleration, decreased baseline FHR variability and late deceleration compared to infants without cardiac structural anomalies.”
“Livestock slurry containing antibiotics is a source of contamination of agricultural soils, with possible effects on soil function and micro-organisms. Extracellular oxido-reductases and hydrolases from the fungus T. versicolor and fungal growth were monitored in liquid cultures in the presence of tetracycline, lincomycine, sulfadiazine and ciprofloxacin for 10 days, in order to assess the suitability of these enzymes as

biomarkers. Among the conditions of treatment, statistical analysis demonstrated an increase in manganese-dependent peroxidase after exposure to sulfadiazine at Anlotinib datasheet 1 mg/L when compared with the control. Acid phosphatase activity was decreased by lincomycine at 1 or

10 mg/L. Conversely, beta-glucosidase activity increased in the presence of this Elacridar nmr antibiotic at 10 mg/L. In Terrestrial Model Ecosystems spiked with contaminated pig slurry, lincomycine at the concentration of 8 or 80 mu g/kg dry soil, and ciprofloxacin at 250 ng/kg dry soil decreased the activity of soil dehydrogenase, when compared with a green slurry treatment, over 28-day incubations. Laccase activity was similarly decreased in the presence of the highest concentration of antibiotics. We determined bacterial and fungal biomasses using Q-PCR. Bacterial biomass was increased in the presence of lincomycine at 80 mu g/kg whatever the time of exposure, and to a lesser extent in the presence of ciprofloxacin at 250 ng/kg, but only at day 28. In contrast,

both antibiotics, whatever their concentrations, did not modify fungal biomass in soil. In conclusion, we were unable to demonstrate important effects of GF120918 order antibiotics at concentrations found in the agricultural environment. (c) 2011 Wiley Periodicals, Inc. Environ Toxicol, 2012.”
“Objective. To determine whether there are differences in the quantity and quality of sleep, including sleep efficiency and insomnia, and health-related quality of life (HRQoL) between patients with lower urinary tract symptoms (LUTS) suggestive of benign prostatic obstruction (BPO), men from the general population and patients with inguinal hernia. Material and methods. The designs were descriptive and comparative. The groups consisted of 239 patients aged 45-80 years who were referred to urological departments with LUTS suggestive of benign prostatic obstruction. The comparison groups consisted of 213 randomly selected men from the general population, stratified according to age and geographical region, and 200 patients with inguinal hernia.

Forced swim test (FST), tail suspension test (TST), elevated plus

Forced swim test (FST), tail suspension test (TST), elevated plus maze (EPM) test, light dark apparatus (LDA), pentylenetetrazole-induced convulsions model and chronic stress-induced behavioural despair test were used.

Torvanol A significantly (p<0.05) decreased the immobility period, increased the time spent in open arms and entries in open arms, decreased the time spent in closed arms, increased the time spent in light area and decreased the time spent in dark area. Combination of torvanol A with various antagonists – prazocin(62.5g/kg, i.p.), para chloro phenyl alanine (pCPA) (100mg/kg, i.p.) and haloperidol (50g/kg, i.p.) – has also produced the same effect in various behavioural parameters in FST, TST, EPM and LDA as the respective antagonists. This suggests involvement of noradrenergic, dopaminergic, serotonergic and gabaergic mechanisms.”
“Multiferroic composite thin films selleckchem consisting of CoFe2O4 (CFO) and Pb(Zr0.52Ti0.48)O-3 (PZT) layers were deposited through a combined route of rf magnetron sputtering and sol gel on Pt(111)/TiO2/SiO2/Si substrates. The coupling effects in the bilayered thin film were studied by looking at the relationships among the crystallite orientation, Torin 2 cell line magnetic behavior, and the in-plane residual stress. Phase selective residual stress analysis conducted by using x-ray method demonstrated a close correlation between the stress

imposed on the PZT layer and its texture. A change in the PZT layer orientation from (111) to (010) with the

increasing layer thickness was observed in the multiferroic thin film as the system Selleck RG-7388 changes from an interface energy minimizing texture to a strain energy density minimizing texture. The CFO phase in the multiferroic thin films was preferably oriented in the (111) orientation. However, there is a change in magnetization as well as coercivity of the multiferroic thin films when the top PZT layer was varied in thickness. A close correlation between the magnetization and the in-plane stress in the CFO bottom layer imposed by the PZT film thickness was observed.”
“Background: Beta-blockers improve left ventricular (LV) systolic function and prognosis in patients with chronic heart failure (CHF), but their different pleiotropic properties may influence their cardiovascular effects. This open-label study compared the effects of long-term treatment with nebivolol versus carvedilol on LV ejection fraction (LVEF), in hypertensive CHF patients. Secondary end points were to assess the effect of the 2 beta-blockers on exercise capacity and clinical outcome.

Methods and Results: A total of 160 hypertensive CHF patients, with LVEF <40% and in New York Heart Association (NYHA) functional class I, II, or III, were randomly assigned to receive nebivolol or carvedilol for 24 months. At baseline and at the end of treatment, all patients underwent clinical evaluation, echocardiography, and 6-minute walking test.

5% mean correction (P = 0 01); the anterior vertebral translation

5% mean correction (P = 0.01); the anterior vertebral translation was 18.9% (range, 12%-27%) before surgery and 17% (range, 0%-27%) at follow-up, for a 14.6% mean correction (range, 0%-100%) (P = 0.02). No implant-related complications (screw loosening or breakage) or loss of correction were observed. Four cases (13.8%) presented an asymptomatic radiolucent line around

screws of the LY2090314 S1 level without screw loosening. Six patients (20.7%) showed minor complications (ileus in 2 cases, urinary tract infection in 2, transient postoperative delirium in one, and respiratory difficulties after surgery in another patient). In 2 other patients (6.8%) incurred major complications, both requiring a revision surgery, for a misplaced screw on L5 and junctional disc degeneration at the lower level respectively. No neurologic complications occurred.

Conclusion.

Dynamic stabilization with pedicle screws in addition to decompressive laminectomy resulted a safe procedure in elderly patients with degenerative lumbar scoliosis; it was able to maintain enough stability to prevent progression of scoliosis and instability, enabling a wide laminectomy in cases Bioactive Compound Library of associated lumbar stenosis. This nonfusion stabilization technique was less aggressive than instrumented fusion and obtained a statistically significant improvement of the clinical outcome at last follow-up.”
“Objective: It is well documented that statistical and methodological flaws are common in much of the health research literature, including psycho-oncology. These can have far-reaching effects, including the publishing of misleading results; the wasting of time, effort, and financial resources;

exposure of patients to the potential harms of research and decreased confidence HDAC inhibitor in science and researchers by the public.

Methods: Several of the most common statistical errors and methodological pitfalls that occur in the field of psycho-oncology are discussed, including those that occur at the design, analysis, reporting and conclusion stages.

Results: Fourteen topics are briefly discussed, explaining why there is a problem and how to avoid it. These include proper approaches to power, clustering, missing data, categorization of continuous variables, subgroup analyses, multiple comparisons, statistical interactions, confidence intervals and correct interpretation of p-values. Extensive referencing points the reader to more in-depth explanations.

Conclusions: To increase the scientific rigour in psycho-oncology, researchers should involve a biostatistician from the beginning of the study and should commit to continuing education on best practices in the fields of statistics and reporting. Copyright (C) 2012 John Wiley & Sons, Ltd.”
“Aim: Since DNA damage-related apoptosis is raising concerns regarding abnormal spermatogenesis, we investigated the changes in gamma-H2AX during testicular germ cell apoptotic responses in the varicocele model.

Short course intra-arterial chemotherapy with a GC regimen thus a

Short course intra-arterial chemotherapy with a GC regimen thus appears to be highly effective in the subset of patients with recurrent

TCC confined to the pelvis.”
“It is possible to control the alignment of columnar liquid crystalline pi-conjugated systems by controlling photoluminescence (PL) properties PF-03084014 manufacturer to yield a polarized PL effect by shear stress. A polarization ratio of 11.2 at the fluorescence peak was obtained using columnar liquid crystalline pi-conjugated oligothiophenes [T. Yasuda et al., Adv. Funct. Mater. 19, 411 (2009)]. We have therefore revealed the directional distribution of oligothiophene molecules inside the columns, which is the origin of a highly polarized PL emission, through detailed analysis of the dependence of PL polarization ratio on the detection polar angle, assuming that such PL emission is due to the summation of all dipole radiations from oligothiophene molecules in the measured area of the sample. (C) 2009 American Institute buy Bafilomycin A1 of Physics. [DOI: 10.1063/1.3132814]“
“Objectives: To develop and test an evidence-based, multimedia patient education program (MPEP) about methotrexate (MTX) treatment for rheumatoid arthritis (RA) and a new measure of patient knowledge [Methotrexate in Rheumatoid Arthritis Knowledge test (MiRAK)].

Methods:

The content of the MPEP and MiRAK was guided by concept-mapping workshops with patients (N = 24), literature review, health professional, and expert linguistic input. The MPEP and MiRAK underwent multiple stages of testing and revision with patients and health professionals. The MiRAK was administered to RA patients (N = 169) and its properties examined using the Rasch analyses. A subset of respondents

(N = 131) repeated the MiRAK to determine test-retest reliability. A before-after pilot study with patients who had recently started MTX (N = 31) tested responsiveness of the MiRAK and feasibility and acceptability of the MPEP.

Results: A DVD of 24-minutes duration was produced that presents detailed, evidence-based information about MTX. The Rasch analyses of the 60 MiRAK items revealed that these could be summated into a single score. The MiRAK had good model fit, supporting internal construct validity, good internal CAL-101 consistency (person separation index; 0.84), test-retest reliability (ICC; 0.89), and ability to detect change (ES; 2.38). The before-after study suggested that patients could self-administer the MPEP, with the majority finding it informative and easy to use.

Conclusions: We developed a MPEP about MTX treatment for RA, which was found to be user-friendly and easily implementable. The MiRAK is a new scale, testing a broad spectrum of MTX knowledge. Analyses revealed strong evidence for its validity and reliability. (C) 2014 Elsevier Inc. All rights reserved.

(Obstet Gynecol 2012;119:442-4) DOI:10 1097/AOG 0b013e318236f1a0″

(Obstet Gynecol 2012;119:442-4) DOI:10.1097/AOG.0b013e318236f1a0″
“Sample preparation in forensic science offers special challenges in that the sample matrix and the analytes change depending on the circumstances of the case. It is difficult to standardize the sample preparation step for many types of cases due to sample and matrix complexity and the total unknown

nature of the target analytes present within the matrix. Secondly, the analytical results obtained from forensic samples often undergo rigorous legal scrutiny and challenges. As such, maintaining the integrity of the sample chain of custody should be considered during the sampling and sample preparation prior to analysis. Finally, for those sample matrices where the sample preparation can be standardized (i.e., fire debris analysis and toxicology), utmost care should be taken to minimize the possible interferents and maximize the analyte concentration to meet the analytical Selleckchem Roscovitine requirements.

In this article, we discuss the nature and the types of forensic samples of interest, and recent developments and innovations in micro-sample preparation techniques in different disciplines within forensic science. We also discuss the future outlook of forensic sample preparation. (C) 2013 Elsevier Ltd. All rights reserved.”
“To determine the difference in sternal infection

and other infectious ON-01910 ic50 events between conventional wire and cable-tie-based closure techniques post-sternotomy in a collective of patients after cardiac surgery.

The sternal ZipFix (TM) (ZF) system consists of a biocompatible poly-ether-ether-ketone (PEEK) BEZ235 ic50 cable-tie that surrounds the sternum through the intercostal space and provides a large implant-to-bone contact. Between 1 February 2011 and 31 January 2012, 680 cardiac operations were performed via sternotomy at our institution. After the exclusion of operations for active endocarditis and early mortality within 7 days, 95 patients were exclusively closed with ZF and could be compared with 498 who were closed with conventional wires

(CWs) during the same period. A multivariable logistic regression analysis, including body mass index, renal impairment and emergency as suspected confounders and inverse propensity weights was performed on the infection rate.

Total infection rate was 6.1%, with a total of 36 diagnosed sternal infections (5 in ZF and 31 in CW). Comparing ZF with CW with regard to sternal infection, there is no statistically significant difference related to the device (odds ratio: 0.067, confidence interval: 0.04-9.16, P = 0.72). The propensity modelling provided excellent overlap and the mean propensity was almost the same in both groups. Thus, we have observed no difference in receiving either ZF or CW. No sternal instability was observed with the ZF device, unlike 4/31 patients in the CW group.

This is the pattern expected from the initial hypothesis, but it

This is the pattern expected from the initial hypothesis, but it also has other possible explanations. This ambiguity arises chiefly from limitations

in the methods used for estimating MyN. These limitations are accessible to control in future studies. Our findings failed to contradict the GDC-0973 research buy hypothesis introduced here. These conclusions are implicit in the underlying observations of MyN constancy across such groupings as sex, height, weight, and LV mass, which provide the less speculative findings.”
“Study Design. A retrospective case report.

Objective. The objective of the present article is to report an unusual complication of spinal instrumentation.

Summary of Background Data. Migration of spinal implants to distant site is quite unusual, and literature till date has only 2 case reports. For the first time, we are reporting a case of anterior spinal rod migration from the dorsolumbar spine to the knee joint in a young male patient after 4 years of its fixation following spinal injury.

Methods. A 38-year-old man presented with pain,

swelling, and restriction of movement of left knee joint. On clinical examination, a hard movable rod was palpable which was suspected to be a metallic foreign body initially. The detailed history of the patient revealed anterior spinal fixation following posttraumatic Pitavastatin cost injury of L1 vertebra 4 years back. Radiograph showed a metallic rod lying around the knee joint with absence of anterior rod of dorsolumbar spine. The suspicion

of migration of the rod was confirmed by surgical exploration.

Results. After 1 week of removal of the rod, patient became totally asymptomatic with normal full range of movement of the knee joint.

Conclusion. Though rare, migration of implants from the spine to the distant sites is always a possibility and may have severe complications too. We stress the need of long-term follow-up with clinical examination and radiographs to prevent missing such a complication.”
“Endoscopic neurosurgical techniques have enabled pediatric neurosurgeons to treat a number of conditions in a minimally invasive manner. In addition to INCB024360 its pivotal role ill the treatment of hydrocephalus, endoscopy is increasingly being Used in the management of intraventricular brain tumors. Endoscopy has become the first-line modality for obtaining tumor samples from many intraventricular tumors, some of which do not ultimately need aggressive surgical treatment. Endoscopic techniques enable simultaneous treatment of hydrocephalus with tumor biopsy, saving patients in additional procedure. Endoscopy may also be used for complete excision of intraventricular tumors in selected cases. Overall, surgeries performed endoscopically are less invasive than conventional open neurosurgery and often enable shorter lengths of hospital stay and decreased costs.

Numbers of species, abundance, richness and Shannon diversity wer

Numbers of species, abundance, richness and Shannon diversity were the biodiversity indicators measured in benthic fauna. Morphological and reproduction status of clams were assessed using the condition factor and gonado-somatic index, respectively. Phase I and Phase II detoxification enzymatic activities (ethoxyresorufin O-deethylase (EROD), glutathione S-transferase (GST)), antioxidant enzymatic activities (glutathione peroxidase (GPX), glutathione reductase (GR)) and oxidative stress learn more parameters (Lipid Peroxidation (LPO) and DNA strand breaks) were measured in clams’ digestive gland

tissues. In parallel, temperature and salinity in the adjacent water, redox potential, pH and organic matter in sediment, and dissolved oxygen in the interstitial water were measured. The results suggested that RSP showed a spatial gradient characterised by hypoxia/anoxia, reduced potential, acidic conditions and high organic enrichment in sediments at the most contaminated sites. Significant (p<0.05) decrease of biodiversity indicators were observed in the areas impacted by the aquaculture discharges. Biomarkers did not show a clear pattern and of all biochemical responses tested, GPX, DNA damage and LPO were the most sensitive ones and

showed significant (p<0.05) increase in the click here polluted sites. Benthic biodiversity indicators were significantly (p<0.05) positively correlated with pH, redox potential and dissolved oxygen and negatively correlated with organic matter. On the contrary, antioxidant enzymatic responses (GPX) and oxidative stress parameters were significantly (p<0.05) negatively correlated with those physico-chemical parameters. It has been demonstrated that effluents from fish aquaculture activities in Rio San Pedro creek may produce an alteration of physicochemical characteristics of seabed and induce oxidative stress and DNA damage in soft-sediment species which may

lead to changes of the benthic population structure and health status of the exposed organisms. (C) 2012 Elsevier Ltd. All rights reserved.”
“Purpose: : Growing numbers of people with intellectual disabilities are diagnosed with a life-limiting illness such as cancer. Little PFTα datasheet is known about disclosure of diagnosis and prognosis to this group. The study aim was to explore how much people with intellectual disabilities who have cancer understand about their diagnosis and prognosis, and to explore how much they are told about their cancer.

Method: : 13 people with intellectual disabilities and cancer took part in a 3-year ethnographic study. Data collection consisted mostly of participant observation. Participants were visited regularly for a median of 7 months.

Results: : Eleven participants were told that they had cancer, but most were not helped to understand the implications of this diagnosis or their prognosis. Decisions around disclosure, as well as the task of truth-telling, rested mostly with relatives and paid carers.

Use of a control group may help in the analysis of the influence

Use of a control group may help in the analysis of the influence of constraints on shoulder strength. Further prospective studies are necessary to determine whether the weakness is a cause or an effect of the instability.”
“Background and aims: A skewed thiopurine metabolism is a phenomenon associated with both poor treatment response and toxicity. Our aim was to evaluate the frequency of this phenomenon and the relationship to thiopurine methyltransferase (TPMT) function.

Methods: All thiopurine metabolite measurements in adult patients

(n=4033) between January 2006 and April 2012 were assessed to evaluate the occurrence of a skewed metabolism and the relationship to TPMT genotype and activity.

Results: A skewed metabolism was observed in 14% of all patients. It only developed in patients with a normal TPMT genotype, but was observed at all TPMT Selleck Apoptosis Compound Library activity levels within the normal range (9.1-24.2 U/ml RBC). Two cases that illustrate typical clinical scenarios of a skewed

metabolism and the effect of combination treatment with low-dose azathioprine and allopurinol are presented.

Conclusions: A skewed metabolism is a common clinical phenomenon in patients with a normal TPMT function, which can develop at all TPMT activity levels within the normal range. We suggest that metabolite measurements should be considered in patients not responding to treatment and in those with hepatotoxicity or myelotoxicity in order to detect a skewed metabolism, since this phenomenon can be successfully managed by a combination of low-dose azathioprine and allopurinol. (C) 2012 European Crohn’s and Colitis Organisation. selleck compound Published by Elsevier B.V. All rights reserved.”
“Photoluminescence (PL) measurements were used to study the effect of postdeposition treatments by annealing and CdCl2 activation on polycrystalline CdS layer grown by close-spaced sublimation Entinostat (CSS) and chemical bath deposition (CBD). CdS films were either annealed in a temperature range of 200-600 degrees C or CdCl2 treated between 300-550 degrees C. The development of “”red,”" “”intermediate orange,”" “”yellow,”" and “”green”"

luminescence bands is discussed in comparison with PL assignments found in literature. PL spectra from CdS layer grown by CSS are dominated by the yellow band with transitions at 2.08 and 1.96 eV involving (Cd-i-A), (V-S-A) complex states where A represents an acceptor. Green luminescence bands are observed at 2.429 and 2.393 eV at higher annealing temperature of 500-600 degrees C or CdCl2 treatment above 450 degrees C, and these peaks are associated with zero and a longitudinal optical phonon replica of “”free-to-bound”" transitions. As grown CBD-CdS films show a prominent red band with four main peaks located at 1.43, 1.54, 1.65, and 1.77 eV, believed to be phonon replicas coupled with local vibrational modes. This remains following postdeposition treatment.

Conclusions:

Published evidence suggests that LRP1 may pl

Conclusions:

Published evidence suggests that LRP1 may play a key role in the development of AAA. (C) 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“Contents Contrast-enhanced ultrasound with sulphur hexafluoride microbubbles was performed in seven healthy dogs without a history of reproductive pathology Selleck Birinapant and with histologically confirmed normal testes and in 42 dogs with chronic scrotal anomalies. All dogs underwent orchiectomy and histological examination. Enhancement patterns and perfusion parameters (peak intensity and regional blood flow) of testes of healthy dogs and testes with chronic lesions were compared. Fourteen non-pathologic and 60 pathologic testes were considered. Forty testes were neoplastic (24 interstitial

cell tumours, 9 seminomas, 7 Sertoli cell tumours), 20 were non-neoplastic (16 testicular degenerations, 2 chronic orchitis, 1 testicular atrophy, 1 interstitial cell hyperplasia). In healthy dogs, the contrast medium flow had a rapid homogeneous wash-in and wash-out, with a short peak phase. With contrast ultrasound, testes that were inhomogeneous with a hyperenhancing pattern were associated with neoplasia (sensitivity: 87.5%, specificity: 100%). Lesions with persistent inner vessels and a hypo-to-isoechoic background were significantly associated with seminomas (sensitivity: 77.8%, specificity: 100%). Testes with non-neoplastic lesions were characterized by a scant/moderate MLN2238 homogeneous enhancement.

Perfusion parameters were higher in neoplastic lesions. Contrast selleck products ultrasound was a feasible diagnostic tool in the assessment of testicular lesions, with hyperenhancement being an important feature in the diagnosis of malignancy.”
“Design. This is a structured evidence-based review of all available studies on the relationship between chronic pain and sleep problems as defined by the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) category of sleep disorder due to a general medical condition.

Objectives. To determine whether chronic pain is etiologically associated with this sleep category.

Methods. Computer and manual literature searches yielded 146 references that addressed this area of study. One hundred and five studies were excluded from detailed review based on exclusion criteria detailed by this category of sleep disorders. Forty-one studies were reviewed in detail and sorted according to six natural groupings: multivariate analysis, prospective studies, path analysis, correlation between pain and sleep problems, univariate analysis using comparison groups, and do nonsedating drugs with analgesic properties improve sleep? Study characteristics were abstracted into tabular form and each report was characterized by the type of study it represented according to the Agency for Health Care Policy and Research (AHCPR) guidelines.