\n\nResults. Relative to the manual tracking method, electronic medication tracking allowed the capture of far more data points, enabling the pharmacy team to delineate the time required

for each step of the medication dispensing process and to identify the steps most likely to involve delays. A comparison of baseline and postimplementation data showed substantial reductions in overall medication turnaround times with the use of the Web-based tracking system (time reductions of 45% and 22% at the central and satellite sites, respectively). In addition to more accurate projections and documentation of turnaround times, the Web-based tracking system has facilitated quality-improvement initiatives.\n\nConclusion. Implementation of an electronic tracking system for monitoring the delivery of medications provided a comprehensive mechanism selleck kinase inhibitor for calculating turnaround times and allowed the pharmacy to identify bottlenecks within the medication distribution system. Altering processes removed these bottlenecks and decreased delivery turnaround times. Am J Health-Syst Pharm. 2012; 69:1651-8″
“Essential thrombocythemia (ET) MLN8237 is extremely rare

in the pediatric population. In most patients no molecular abnormality can be found, with about 40% of pediatric patients harboring a JAK2 V617F mutation. Another recurrent mutation, involving a W to L or K transversion at MPL codon 515, has been reported in about 3-8% of adult ET patients. Herein we describe this mutation in a pediatric patient. Pediatr Blood Cancer 2013;60E52-E54. (c) 2013 Wiley Periodicals, Inc.”
“There is considerable evidence that the excessive ultraviolet radiation B (UVB) from sunlight is implicated in skin damage, ultimately

inducing the death of keratinocytes. The UVB-induced apoptotic pathways are tightly regulated by the balance between pro-apoptotic and anti-apoptotic molecules. Among them, modulations of Bcl2 family proteins are important to decide the fate of UVB-irradiated cells. If the apoptotic pathway does not work properly, the damaged cells have a chance RepSox ic50 to transform into a carcinoma, such as basal cell carcinoma or squamous cell carcinoma of the skin. To develop a strategy of inducing apoptosis of skin cancer cells, the current study was performed to investigate the apoptotic pathway, especially focused on Bcl2 family proteins, in curcumin or UVB-treated basal cell carcinoma cell lines. Our data showed that the decreased proliferation rates and apoptotic DNA laddering were clearly observed in UVB irradiation, but not markedly observed in curcumin treatment. The decreased expression of Bcl-X-L which is involved in protection of apoptosis, was also clearly observed in UVB-irradiated cells without markedly changing mRNA levels. However, the expression of Bax or Bcl2 were not markedly changed by UVB-irradiation.

Research sample was selected by a multistage cluster sampling. The data was obtained by using a valid reliable questionnaire for measuring the perceptions, a checklist for observing the quality of brushing and dental flossing and health files

and clinical observation. First, a descriptive study was applied to individual perceptions, oral behaviors, Oral Hygiene Index (OHI) and Decayed, Missing www.selleckchem.com/products/chir-99021-ct99021-hcl.html and Filled Teeth Index (DMFTI). Then an educational planning based on the results and Health Belief Model (HBM) was applied. The procedure was repeated after six months.\n\nResults: After education, based on HBM, all the oral health perceptions increased (P<.05). Correct brushing and flossing are influenced by increased perceptions. A low correlation between the reduction of DMFTI and increased perceived Selleck Entinostat severity and increased perceived barriers are found (r = -0.28, r = 0.43 respectively). In addition, there was a limited correlation between OHI and increased perceived benefits (r = -0.26).\n\nConclusion: Using health belief model in oral health education for increasing the likelihood of taking preventive oral health behaviors is applicable.”
“The information provided by the International Commission for the Conservation of Atlantic Tunas (ICCAT) on captures of skipjack tuna (Katsuwonus pelamis)

in the central-east Atlantic has a number of limitations, such as gaps in the statistics for certain fleets and the level of spatiotemporal detail at which catches are reported. As a result, the quality of these data and their effectiveness for providing management

advice is limited. In order to reconstruct missing spatiotemporal data of catches, the present study uses Data INterpolating Selleckchem Torin 2 Empirical Orthogonal Functions (DINEOF), a technique for missing data reconstruction, applied here for the first time to fisheries data. DINEOF is based on an Empirical Orthogonal Functions decomposition performed with a Lanczos method. DINEOF was tested with different amounts of missing data, intentionally removing values from 3.4% to 95.2% of data loss, and then compared with the same data set with no missing data. These validation analyses show that DINEOF is a reliable methodological approach of data reconstruction for the purposes of fishery management advice, even when the amount of missing data is very high.”
“Key points Using a diet-induced obese rat model, we examined two sympathoinhibitory reflexes: the baroreflex and the reflex induced by the gastrointestinal hormone cholecystokinin (CCK). The change in neuronal discharge of presympathetic vasomotor neurons in the rostroventrolateral medulla (RVLM) to both sympathoinhibitory stimuli was significantly blunted in obesity-prone (OP) hypertensive animals when compared to obesity-resistant (OR) animals or controls on a low fat diet, at the single neuronal level.

Because of more physical activity of broilers in lower stocking density, the

parameters of tibia quality are improved. In regard to present measures for preservation and improvement of animal welfare, application of lower stocking density of broilers and intermittent light regime is justified also from the aspect of improvement of carcass quality.”
“Objective: To describe the prevalence and correlates of the use of sunless www.selleckchem.com/products/ly3039478.html tanning products among US adolescents and their association with UV radiation exposure behaviors, including indoor tanning, sunburn experiences, and use of sunscreen while outdoors.\n\nDesign: Telephone-based, random-digit-dialed, cross-sectional survey conducted from July 1 through October 30, 2004.\n\nSetting: Telephone-accessible households with resident adolescents living with parents or caregivers in the mainland United States.\n\nParticipants: Nationally representative, population-based sample of 1600 adolescents aged 11 to 18 years and their caregivers.\n\nMain AZD8186 solubility dmso Outcome Measure: Prevalence of recent (past-year) use of sunless tanning products and UV radiation exposure behaviors.\n\nResults: The prevalence of self-reported use of sunless tanning products in

the past year among US adolescents was 10.8%. Adolescent users of these products were more likely to be older and female, to perceive a tanned appearance as desirable, to have a parent or caregiver who used sunless tanning products, and to hold positive selleck kinase inhibitor beliefs or attitudes about

these products. Use of sunless tanning products was independently associated with indoor tanning and higher frequency of sunburn but not with use of sunscreen.\n\nConclusions: Among US adolescents, 10.8% used sunless tanning products in the past year; this practice was associated with risky UV radiation exposure-related behaviors. Adolescents, therefore, must be educated about these products and the importance of avoiding indoor tanning and practicing sun-protective behaviors.”
“Synthesis of a chiral cysteine derivative 2 with the carboxyl protected by an acid-labile 4-methyl-2,6,7-trioxabicyclo[2.2.2]octyl (OBO) orthoester is reported. A disulfide anchoring strategy is used to link the sulfur of this OBO cysteine derivative onto modified trityl polystyrene resin for synthesis of peptides having C-terminal cysteine (Cys) residues. Fmoc-based solid phase peptide synthesis affords model tripeptides without significant epimerization. The approach is used to make the orally active analgesic crotalphine and its Cys1 diastereomer.”
“Phthalate diesters are a diverse group of chemicals used to make plastics flexible and are found in personal care products, medical equipment, and medication capsules. Ubiquitous in the environment, human exposure to phthalates is unavoidable; however, the clinical relevance of low concentrations in human tissues remains uncertain.

In this study, we aimed to describe the distribution of Th17, Tc17 and Treg BI2536 cells in endometrial carcinoma patients, and elucidate the probable role of these effector T cells.\n\nMethods. We assessed the expression of interleukin (IL)-17 and Foxp3 in the peripheral blood of endometrial carcinoma patients and healthy controls by flow cytometry to determine the relative numbers of Th17, Tc17 and Treg cells. Th17 cells and Tc17 cells were counted as percentages of the total number of CD3(+) T cells; Treg cells were counted as a percentage of the total number of CD4(+) T cells. We also evaluated

Th17 and Tc17 cells in tumor tissue by immunohistochemical staining. IL-17 and IL-10, dominant products of these three cell types, were detected by using enzyme-linked immunosorbent assays.\n\nResults. The frequencies of Th17, Tc17 and Treg cells, as well as the serum level of IL-10, were significantly elevated in endometrial carcinoma patients PR-171 research buy compared to healthy controls. The Th17/Tc17 and Th17/Treg ratios were also observed to change significantly. However, there was no significant difference on the IL-17 levels in the serum. Additionally, immunohistochemistry performed on tumor tissues indicated that the amounts of Th17 and Tc17 increased in the cancer patients.\n\nConclusions. Our data suggests

a probable involvement of Th17, Tc17 and Treg cells in the pathogenesis of endometrial carcinoma. Restoring the balance of these cells may help with the research and development of immunotherapies for endometrial carcinoma. (C) 2013 Published by Elsevier Inc.”
“The hypothesis is summarised schematically in Fig. 1.\n\nIt is proposed that mechanical deformation of the skin by needles and application of heat or electrical current leads to release

of large amounts of ATP from keratinocytes, fibroblasts and other cells in skin; the ATP then occupies specific receptor subtypes expressed on sensory nerve endings in the skin and tongue; the sensory nerves send impulses through ganglia to GDC-0941 the spinal cord, the brain stem, hypothalamus and higher centres; the brain stem and hypothalamus contain neurons that control autonomic functions, including cardiovascular, gastrointestinal, respiratory, urinogenital and musculo-skeletal activity. Impulses generated in sensory fibres in the skin connect with interneurons to modulate (either inhibition or facilitation) the activities of the motoneurons in the brain stem and hypothalamus to change autonomic functions; specifically activated sensory nerves, via interneurons, also inhibit the neural pathways to the pain centres in the cortex. (C) 2009 Elsevier Ltd. All rights reserved.”
“A neurologically intact 37-year-old woman presented with an acute severe frontal headache after a month of intermittent headaches.

Patients who suffered from liver cirrhosis with a thromboplastin time of <50% had a higher risk of post-interventional bleeding than patients with liver cirrhosis and a thromboplastin time >50%. Furthermore, therapeutic interventions showed higher complication rates than diagnostic procedures.\n\nConclusion: Severe bleeding complications with a need for transfusion in sonographically guided procedures are rare (0.4%). Our results showed see more that liver cirrhosis with a low thromboplastin time (<50%) seems to be the most important risk factor for patients. Overall, sonographically guided interventions are safe and have low complication rates considering careful performance and contraindications.”
“The distinction

of isolated malformations and combined lesions constitutes a major novelty in CA3 research buy the 2011 consensus classification

of the International League against Epilepsy (ILAE) for focal cortical dysplasias (FCD). Cortical lamination abnormalities together with vascular lesions are subsumed as FCD IIIc. Little is known regarding frequency and etiology of this entity. Here, we systematically evaluated biopsy specimens from 72 drug-refractory epilepsy patients with cerebral cavernous malformations (CCM) regarding presence of associated FCD. Due to a non-perpendicular orientation of the cortical structures or absence of sufficient cortical tissue adjacent to the vascular lesion 25 samples were not classifiable. In the remaining 47 cases FCD Illc was rare (4.3%), but significantly increased in patients with multiple CCM (28.6%; p smaller than 0.05 vs. single CCM). Association of FCD Illc with multiple CCM may argue against FCD Illc as an acquired

lesion. (C) 2013 Elsevier NVP-LDE225 price B.V. All rights reserved.”
“Background: Among the potent anticancer agents, curcumin has been found to be very efficacious against many different types of cancer cells. However, the major disadvantage associated with the use of curcumin is its low systemic bioavailability when administered orally due to its poor aqueous solubility. Our present work investigated the efficiency of encapsulation of curcumin in poly (lactic-co-glycolic acid) (PLGA) nanospheres using solid/oil/water emulsion solvent evaporation method. Materials and Methods: The nanospheres were formulated and then characterized for percent yield, encapsulation efficiency, surface morphology, particle size, drug distribution studies, drug polymer interaction studies and in vitro drug release profiles. Results: Our studies showed the successful formation of smooth and spherical curcumin-loaded PLGA nanospheres, with an encapsulation efficiency of 90.88 +/- 0.14%. The particle size distribution showed a range of 35 nm to 100 nm, with the mean particle size being 45 nm. Evaluation of these curcumin-loaded nanospheres was carried out in prostate cancer cell lines. Results showed robust intracellular uptake of the nanospheres in the cells.

“
“BACKGROUND: Regionalization of trauma care reduces mortality and has clear guidelines for transport to the highest level of trauma care. Whether prehospital providers follow the CDC triage algorithm remains to be determined.\n\nSTUDY DESIGN: We performed a 5-year retrospective cohort analysis of linked data from Washington State’s Central Region Trauma Registry

(CRTR) and King County Entinostat supplier Emergency Medical Services (KCEMS). Patients were analyzed based on transport to their designated hospital, as determined by geocode mapping, or directly to the level I center (no level II center is available in this region).\n\nRESULTS: Of the 12,106 patients in the study, 5,976 (49.4%) were transported directly to a level I center from the scene. Of the remaining 6,130 patients initially transported to level III to V centers, 5,024 (41.5%) remained in the respective level III to V centers and 1,106 (9.1%) were transferred to the level I center. Patients transported directly to SN-38 research buy a level I center were more likely to be male, younger, have a penetrating injury, lower scene Glasgow Coma Scale (GCS), lower scene blood pressure, and be more severely injured. Level I direct scene transport was significantly less likely for older patients. Compared with patients ages 18 to 45, the adjusted

odds ratio for direct transport to the level I center was 0.7 (95% CI 0.59 to 0.83) for patients aged 46 to 55 years; 0.47 (95% CI 0.39 to 0.57) for those 56 to 65 years; 0.28 (95% CI 0.23 to 0.34) for patients 66 to 80 years; and 0.11 (95% CI 0.09 to 0.14) for those older than 81 years.\n\nCONCLUSIONS: Prehospital providers follow physiologic, anatomic, Elafibranor and mechanistic parameters in steps 1 to 3 of the CDC field triage guidelines. However, contrary to the special considerations guideline

in step 4, older age was associated with transport to the lower level of trauma care in our region. (J Am Coll Surg 2012; 215: 148-156. (C) 2012 by the American College of Surgeons)”
“Osteoporosis is a common disease with wide prevalence, especially in the elderly population. Osteoporosis induced fractures not only decrease the patient’s life quality, but also cause heavy financial burden to the society. Although current medications for osteoporosis are effective, numerous adverse effects have been observed accompanying their clinical applications. Effective prevention and therapy strategies with high safety are critical, which benefit both individual patients and the whole society. Traditional Chinese medicines have been used for thousands of years to treat bone related diseases in China and a number of modern preparations have been developed that are currently commercially available. In addition, several medicinal herbs demonstrated therapeutic effects against osteoporosis in animal models.

Liver Transpl 19:1245-1251, 2013. (c) 2013 AASLD.”
“Physical exercise promotes complex adaptations in skeletal muscle that benefit various

aspects of human health. Many of these adaptations are coordinated at the gene expression level by the concerted CHIR-99021 concentration action of transcriptional regulators. Peroxisome proliferator-activated receptor gamma (PPAR gamma) coactivator-1 (PGC-1) proteins play a prominent role in skeletal muscle transcriptional reprogramming induced by numerous stimuli. PGC-1s are master coactivators that orchestrate broad gene programs to modulate fuel supply and mitochondrial function, thus improving cellular energy metabolism. Recent studies unveiled novel biological functions for PGC-1s that extend well beyond skeletal muscle bioenergetics. Here we review recent advances in our understanding of PGC-1 actions in skeletal muscle, with special focus on their systemic effects.”
“Enzymes that exhibit superior catalytic activity, stability and substrate specificity are highly desirable for industrial applications. These goals prompted the designed substrate specificity of Bacillus stearothermophilus D-hydantoinase toward the target substrate

hydroxyphenylhydantoin (HPH). Positions crucial to substrate specificity were selected using structural and mechanistic information AG-881 research buy on the structural loops at the active site. The size and hydrophobicity of the involved amino acids

were rationally changed, and the substrate specificities of the designed D-Hyd mutants were investigated. As a result, M631/F159S exhibited about 200-fold higher specificity for HPH than the wild-type enzyme. Systematic mutational analysis and computational modeling also supported the rationale used in the design. (C) 2008 Elsevier Inc. All rights reserved.”
“Natural simian immunodeficiency virus (SIV) infection in sooty mangabeys (SMs) typically does not result in AIDS, despite high-level viremia and significant www.selleckchem.com/products/fosbretabulin-disodium-combretastatin-a-4-phosphate-disodium-ca4p-disodium.html depletion of mucosal CD4(+) T cells. Here, we report the results of the first longitudinal study of a large cohort of SMs naturally infected with SIV (n = 78) housed at the Yerkes National Primate Research Center from which samples were obtained three times over a 5-year period. In this study, we observed (i) no signs of simian AIDS, (ii) stable SIV loads, (iii) a slow but progressive decline in CD4(+) T-cell counts (from a mean of 1,067.0 cells/mm(3) at time point 1 to 764.8 cells/mm(3) at time point 3) and increases in the numbers of animals with CD4(+) T-cell levels below 500 and 200 cells/mm3 (from 8 to 28 of 78 and from 1 to 4 of 78, respectively), (iv) progressive declines in percentages of nave CD4(+) and CD8(+) T cells (from 37.7 to 24.8% and from 21.0 to 13.0%, respectively), and (v) stably low levels of activated/proliferating T cells as well as CD4(+) CCR5(+) T cells.

Synthesis of the lipid-linked oligosaccharide (LLO), which serves as the sugar donor for the N-glycosylation of secretory proteins, requires conversion of fructose-6-phosphate to mannose-6-phosphate via the phosphomannose isomerase (MPI) enzyme. Individuals who are deficient in MPI present with bleeding,

diarrhea, edema, gastrointestinal bleeding and liver fibrosis. MPI-CDG patients can be treated with oral mannose supplements, which is converted to mannose-6-phosphate through a minor complementary metabolic pathway, restoring protein glycosylation and ameliorating most symptoms, although liver disease continues to progress. Because Mpi deletion in mice causes early embryonic lethality and thus is difficult to study, we used zebrafish to establish a model of Natural Product Library research buy MPI-CDG. We used a morpholino to block mpi mRNA translation and established a concentration that consistently yielded 13% residual Mpi enzyme activity at 4 days post-fertilization (dpf), which is within the range of MPI activity detected in fibroblasts from MPI-CDG patients. Fluorophore-assisted carbohydrate electrophoresis detected decreased LLO and N-glycans in mpi morphants. These deficiencies resulted in 50% embryonic lethality by 4 dpf. Multi-systemic abnormalities, including small eyes, dysmorphic jaws, pericardial edema, a small liver

and curled tails, occurred in 82% of the surviving larvae. Importantly, these phenotypes could be rescued with mannose supplementation. Thus, parallel processes in fish and humans contribute to the phenotypes caused by Mpi depletion. Interestingly, mannose was only effective if provided prior FDA-approved Drug Library ic50 to 24 hpf. These data provide insight into treatment efficacy and the broader molecular and developmental abnormalities that contribute to disorders associated with

defective protein glycosylation.”
“Diclazuril, a benzeneacetonitrile Belnacasan anticoccidial agent, has potent activity against various stages of Eimeria tenella (E. tenella). To study the effects of diclazuril on E. tenella merozoites, purified second-generation merozoites were obtained from infected chicken caecal tissue at 120 h after inoculation by a combination of enzymatic digestion, centrifugation, erythrocytes disruption and percoll density gradient centrifugation. Ultrastructural changes were monitored by transmission electron microscopy (TEM). Apoptosis and mitochondrial transmembrane potential were determined by flow cytometry (FCM). The results showed that diclazuril induced ultrastructural changes and significantly increased the ratio of early apoptosis by 180.75% (P<0.01) and late apoptosis/necrosis by 86.82% (P<0.05) in second-generation merozoites, respectively. Compared with the infected/control group, the ratio of second-generation merozoites that lost mitochondrial function was increased by 45.04% (P<0.01) in the infected/treatment group.

A synergistic interaction was observed between GTPP constituents, with unfractionated GTPP more potently preconditioning cells than EGCG. GTPP-induced preconditioning required the 67-kDa laminin receptor (67LR), to which EGCG binds with high affinity. 67LR also mediated the generation of reactive oxygen species (ROS) via activation

of NADPH oxidase. An exogenous ROS-generating system bypassed 67LR to induce preconditioning, suggesting that sublethal levels of ROS are indeed an important mediator in GTPP-induced preconditioning. This role for ROS was further supported by the fact that antioxidants blocked GTPP-induced preconditioning. Additionally, ROS induced an activation and translocation of protein kinase C (PKC), particularly click here PKC epsilon from the cytosol to the membrane/mitochondria, which was also blocked by antioxidants. The crucial role of PKC in GTPP-induced preconditioning was supported by use of its specific inhibitors. Preconditioning was increased by conditional overexpression of PKC epsilon and decreased by its knock-out with siRNA. Collectively, these results suggest that GTPP stimulates 67LR and thereby induces NADPH oxidase-dependent generation

of ROS, which in turn induces activation of PKC, particularly prosurvival isoenzyme PKC epsilon, resulting in preconditioning against cell death induced by OGD/R.”
“The essential process of dosage compensation equalizes X-chromosome gene expression between Caenorhabditis elegans XO males MG 132 and XX hermaphrodites through a dosage compensation complex (DCC) that is homologous to condensin. The DCC

binds to both X chromosomes of hermaphrodites to repress transcription by half. Here, we show that posttranslational modification by the SUMO (small ubiquitin-like modifier) conjugation pathway is essential for sex-specific assembly and function of Selleck Lonafarnib the DCC on X. Depletion of SUMO in vivo severely disrupts binding of particular DCC subunits and causes changes in X-linked gene expression similar to those caused by deleting genes encoding DCC subunits. Three DCC subunits are SUMOylated, and SUMO depletion preferentially reduces their binding to X, suggesting that SUMOylation of DCC subunits is essential for robust association with X. DCC SUMOylation is triggered by the signal that initiates DCC assembly onto X. The initial step of assembly-binding of X-targeting factors to recruitment sites on X-is independent of SUMOylation, but robust binding of the complete complex requires SUMOylation. SUMOylated DCC subunits are enriched at recruitment sites, and SUMOylation likely enhances interactions between X-targeting factors and condensin subunits that facilitate DCC binding beyond the low level achieved without SUMOylation.

TGF-beta 1 and its combinations did not show significant proliferation and attachment compared to the control. Immunostaining indicated that treatment with TGF-beta 3 significantly enhanced the secretion of collagen type I, fibronectin and integrins alpha 3 and beta 1. The WSPR experiments also indicated that TGF-beta s influenced the distribution of focal contacts. In conclusion, combining TGF-beta 3 with any other TGF-beta isomer resulted

in a faster model wound closure rate (p smaller than 0.001), while treatment with TGF-beta 1 in any TGF-beta combination reduced the healing rate (p smaller than 0.001). It can therefore be concluded that the presence of TGF-beta 1 has an inhibitory effect on bone wound healing while TGF-beta 3 had the opposite effect and increased the rate of wound closure in a 2 dimensional cell culture environment. (C) 2014 Elsevier Danusertib order Ltd. All rights reserved.”
“Traumatic brain injury (TBI) is an extremely cataclysmic neurological disorder and the inhibition of oxidative stress following TBI could effectively protect the brain from further impairments. An injectable thermosensitive chitosan/gelatin/beta-Glycerol phosphate (C/G/GP) hydrogel for the controlled release of the phenolic antioxidant ferulic acid (FA)

to inhibit the neurological oxidative stress was demonstrated. The C/G/GP hydrogel ensures an excellent clinical expediency with a gelation temperature of 32.6 degrees C and gelation time of 75.58 s. In-vitro cytotoxicity assays

of C/G/GP hydrogel check details and FA have revealed an excellent biocompatibility with the Neuro-2a cells. 500 mu M of FA was https://www.selleckchem.com/products/blebbistatin.html considered to be an effective concentration to reduce the oxidative stress in Neuro-2a cells. TUNEL staining images evidenced that the H2O2 induced DNA fragmentation was comprehensively controlled after FA treatment. The mRNA gene expression profiles markedly authenticate the neuroprotectivity of FA by down-regulating ROS, inflammatory and apoptosis related markers. The outcomes of this study suggest that, C/G/GP hydrogel carrying ferulic acid could effectively protect further secondary traumatic brain injury associated impairments. (C) 2015 Elsevier B.V. All rights reserved.”
“High residual platelet reactivity (HRPR) on clopidogrel is a predictor of recurrent ischemic events in patients undergoing percutaneous coronary interventions (PCI). Significant intraindividual variability in platelet aggregation on repeat testing has been reported. To understand factors contributing to the variability in platelet aggregation testing, we examined clinical and laboratory elements linked to HRPR in 255 consecutive patients tested >= 12 hours after PCI using light transmission aggregometry (LTA) in response to adenosine diphosphate 5 mu mol/L and Verify Now P2Y12 assay (VNP2Y12; Accumetrics). HRPR was defined as >46% residual aggregation for LTA and >236 P2Y12 response units (PRUs) for VNP2Y12.