As many infectious microorganisms are acquiring tolerance to anti

As many infectious microorganisms are acquiring tolerance to antibiotics, the need for novel medicines is increasing. Recently, various methods are being used for drug discovery, including gene manipulation for biosynthesis of antibiotics such as polyketides. Due to their importance as drugs, the volume of data on polyketides is rapidly increasing. In the present paper, by using SEARCHPKS and ASMPKS servers, domain identification, and domain organization, substrate specificity of AT domain, domain assembly and chemical moiety of three Actinomycetes i.e., Mycobacterium abscessus, Micromonospora chalcea and Streptomyces achromogenes are analyzed. So far, no secondary metabolite of any of these

bacteria is known. Here, it was demonstrated that KR1, KR2 and KR3 domains from M. chalcea, KR5 domain from M. abscessus and KR6 domain from S. achromogenes could be Selleckchem Thiazovivin assigned as B1-type, while KR4 domain from M. abscessus and KR7 domain

from S. achromogenes could be assigned as A1 type. Substrate specificity of AT1 and AT2 of M. abscessus predicted to be malonate. AT2 domain of PKS protein from S. achromogenes also selected as malonate. Methylmalonate substrate was predicted for AT1 and AT3 domains. All of the AT domains in modules of PKS protein of M. chalcea were predicted to be specific for methylmalonate. Analysis of folding rate of these proteins showed that the logarithm Z-IETD-FMK nmr of (kf) decreased in proportion to protein chain length. We have also performed a comprehensive phylogenetics analysis of AT and

DH domains with FabA, FabZ and dehydratase proteins of various bacteria and secondary metabolites. The phylogenetic tree derived from these sequences reflects the long joint evolution process.”
“Background: Currently, several graft options have been described for reconstruction of the medial ulnar collateral ligament of the elbow. Palmaris longus, gracilis, plantaris, toe extensor, and even Achilles tendon autografts have been well documented. To our knowledge, no study has investigated the clinical selleck chemicals llc outcomes following the use of allograft tendon for primary medial ulnar collateral ligament reconstruction. It is our hypothesis that medial ulnar collateral ligament reconstruction with hamstring allograft provides results similar to those reported with autograft without the potential complication or risk of donor-site morbidity.

Methods: We retrospectively reviewed the records for 123 overhead throwing athletes with medial ulnar collateral ligament injuries who had had unsuccessful nonoperative treatment. All patients were managed with reconstruction with use of a hamstring allograft and were followed for a minimum of twenty-four months. One hundred and sixteen of the 123 patients were contacted and were included in our study. Outcome measures included Conway-Jobe rating scale, the mean time to return to play, the maximum level of competition, and overall satisfaction with the reconstruction.

Fourteen

Fourteen U0126 MAPK inhibitor of 19 patients (74%) received further pelvic external beam radiotherapy (EBRT) alone; five (26%) patients underwent adjuvant hysterectomy. The median follow-up for all patients was 63 months; 60 months for patients treated with adjuvant hysterectomy (range 31-68 months) and 85 months for patients treated with further EBRT. None of the patients treated with adjuvant hysterectomy developed any significant late toxicity. Seven patients (50%) treated with

EBRT have relapsed compared with none in the adjuvant hysterectomy arm (P = 0.068). Six patients (43%) in the EBRT arm have subsequently died of recurrent disease compared with none in the adjuvant hysterectomy arm (P = 0.152).

Conclusions: Adjuvant hysterectomy after unsuccessful ICBT does not seem to increase late toxicity and reduces the Fisk of pelvic recurrence and may improve survival. The role of

adjuvant hysterectomy after suboptimal chemoradiation merits further investigation in clinical trials. (C) 2009 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.”
“The propagation of ultrasonic guided waves in layered viscoelastic film/substrate materials has been investigated. Based on the plane strain theory, a numerical model of the guided waves propagating in thin film on the substrate is developed in the frequency domain by employing the spectral finite element method. The surface normal displacement and the propagating characteristic are obtained and analyzed, which depends not only on the material parameters of the film, but also on those of the substrate. If the substrate velocity is faster

than that OSI-906 mouse of the film, the dispersion takes on the normal, otherwise, the anomalous dispersion will appear, and thin film properties for different film/substrate systems can be identified. The guided wave is attenuated gradually due to energy dissipation caused by material viscosity and rapidly at the location near the source. With the receiver distance increasing, it becomes slower. Clearly models for ultrasonic generation and propagation in layered viscoelastic film/substrate materials must include the effect of viscoelasticity on the dispersive wave. (c) 2010 American Institute ISRIB order of Physics. [doi: 10.1063/1.3520572]“
“The O-antigen is a part of the lipopolysaccharide molecule present in the outer membrane of Gram-negative bacteria, and is essential for the full function of the microorganisms. Salmonella enterica and Escherichia coli are taxonomically closely related species. In this study, the O-antigen structures of S. enterica O16 and O38 and E. coli O11 were determined. Salmonella enterica O38 and E. coli O21 were found to have identical O-antigen structures, whereas S. enterica O16 and E. coli O11 had closely related structures, differing only in the presence of a lateral glucose residue and O-acetylation of a mannose residue in the former.

We aimed to evaluate the potential protective effect of atorvasta

We aimed to evaluate the potential protective effect of atorvastatin (ATO) against GM-induced nephrotoxicity in rats. Materials and methods. The rats were randomly divided into five groups of six animals each: control, GM (100 mg/kg/day), ATO (10 mg/kg/day), GM + ATO, and GM + Vehicle. Kidney function tests, tissue oxidative stress parameters, and histopathological and immunohistochemical studies clarified GM nephrotoxicity. Results. GM caused a marked reduction in renal functions and increased

oxidative stress parameters. Histopathological examination Selleck JNK-IN-8 revealed tubular necrosis especially in the renal cortex in GM rats. On immunohistochemical evaluation, GM rat showed more intense expressions of mitogen-activated protein kinase (MAPK), nuclear factor kappa B (NF-kB), and inducible nitric oxide synthase (iNOS) compared

with control. Kidney function tests and tissue oxidative stress parameters were normalized in the GM + ATO group. Histopathological and immunohistochemical pictures were also greatly ameliorated. Conclusions. ATO acts in the kidney as a potent scavenger of free radicals to prevent the toxic PI3K inhibitor effects of GM via the inhibition of MAPK and NF-kB signaling pathways and iNOS expression.”
“Yellow mombin (Spondias mombin L.) is a tropical fruit with increasing acceptance in both national and international fruit markets. The aim of this work was to evaluate the centesimal composition, mineral content, total phenolics, antioxidant activity, and characterize the carotenoids of frozen yellow mombin pulp. Results indicated that the yellow mombin pulp contained an important amount of potassium and copper. The antioxidant activity and total phenolic BMS-754807 concentration values scored 17.5 mmol TEAC g(-1) and 260 mg galic acid/100 g respectively, higher than those reported for other fruits. Five carotenoids were identified, beta-cryptoxanthin, lutein, zeinoxanthin, alpha and beta carotene, being beta-cryptoxanthin the major

one, accounting for the high level of pro-vitamin A activity in the pulp. A 100 g portion of yellow mombin pulp can provide more than 37% of the recommended daily allowance of vitamin A. (c) 2011 Elsevier Ltd. All rights reserved.”
“With an increasing demand, organs from elderly donors are more frequently utilized for transplantation. Herein, we analyzed the impact of donor age on CD4+ T-cell responses with regard to regulatory and effector mechanisms. Young (3 months) BM12 recipients were engrafted with young or old (18 months) B6 cardiac allografts. Systemic CD4+ T-cell responses and intragraft changes were monitored and compared to age-matched syngenic transplant controls. While elderly, nonmanipulated hearts contained significantly elevated frequencies of donor-derived leukocytes prior to transplantation, allograft survival was age-independent. T-cell activation, however, was delayed and associated with a compromised immune response in mixed lymphocyte cultures (MLR; P = 0.

The investigation of various validation parameters such as system

The investigation of various validation parameters such as system suitability, linearity, detection limit, quantification LEE011 datasheet limit, precision,

accuracy, specificity, robustness and stability was accomplished in accordance with the International Conference on Harmonization (ICH) guidelines. The isocratic elution of fenofibrate was performed using Agilent 1260 Infinity HPLC system. The column was Capcell PAK C18 (4.6 mm x 250 mm, 5 mu m). The mobile phase, consisted of acetonitrile and 0.1% (v/v) H3PO4 (75: 25, v/v), was eluted at 2 ml/min. The eluent was monitored at 286 nm by the UV detector for fenofibrate concentration measurement. Stability test proved that fenofibrate in sample solutions remained stable at room temperature throughout the analytical process. The limit of detection (LOD) and limit of quantification (LOQ) furnished by this method were better than those of the previously reported HPLC and some UPLC methods of fenofibrate determination. Milciclib supplier All other validation parameters appeared within

the acceptable limits.”
“A series of composite polymer nanoparticles was prepared from poly(N-vinylcarbazole) (PVK) and poly(2,5-bistriethoxy-p-phenylene vinylene-alt-phenylene vinylene) (BTEO-PPV-alt-PPV). The nanoparticle sizes were measured to be in the range of 50-80 nm with transmission electron microscopy. The photoluminescence intensity of PVK decreased with the content of BTEO-PPV-alt-PPV increasing in the composite polymer nanoparticles because the excited states in PVK were quenched by BTEO-PPV-alt-PPV. The emission from BTEO-PPV-alt-PPV was enhanced in the composite

polymer nanoparticles because of energy transfer from PVK to BTEO-PPV-alt-PPV for excitation at the absorption maximum of PVK. The energy-transfer efficiency was markedly improved in the composite polymer nanoparticles versus the composite polymer films according to emission spectral analyses. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 117: 3340-3344, selleck chemicals llc 2010″
“Background: Anopheles gambiae, the main malaria vector in Benin has developed high level of resistance to pyrethroid insecticides, which is a serious concern to the future use of long-lasting insecticidal nets (LLIN) and indoor residual spraying (IRS). In this context, one of the pathways available for malaria vector control would be to investigate alternative classes of insecticides with different mode of action than that of pyrethroids. The goal of this study was to evaluate under field conditions the efficacy of a carbamate (bendiocarb) and an organophosphate (fenitrothion) against pyrethroid-resistant An. gambiae s.s.

Methods: Wild populations and females from laboratory colonies of five days old An. gambiae were bio-assayed during this study.

Currently, array-CGH-based technologies have become an integral p

Currently, array-CGH-based technologies have become an integral part of molecular diagnosis and research in individuals with neuropsychiatric disorders and children with intellectual disability (mental retardation) and congenital anomalies. Here, we introduce the Russian cohort of children with intellectual disability, autism, epilepsy and congenital anomalies analyzed by BAC array CGH and a novel bioinformatic strategy.

Results: Among 54 individuals highly selected according to clinical criteria and molecular and cytogenetic data (from 2426 patients evaluated cytogenetically and molecularly between November

2007 and May 2012), chromosomal imbalances were detected in 26 individuals (48%). In two patients (4%), a previously undescribed condition was observed. The latter has been designated as meiotic (constitutional) selleck kinase inhibitor genomic instability resulted in multiple submicroscopic rearrangements (including CNVs). Using bioinformatic strategy, we were able to identify clinically relevant CNVs in 15 individuals (28%). Selected cases were confirmed by molecular cytogenetic and molecular genetic methods. Eight out of 26 chromosomal imbalances (31%) have not been previously reported. Among them, three cases were co-occurrence of subtle chromosome 9 and 21 deletions.

Conclusions: We conducted

an array CGH study of Russian patients suffering from intellectual disability, autism, epilepsy and congenital anomalies. In total, phenotypic manifestations of clinically relevant genomic variations were found to result from genomic rearrangements affecting 1247 disease-causing selleck chemicals llc and pathway-involved genes. Obviously, a significantly lesser part of them are true candidates for intellectual disability, autism or epilepsy. The success of our preliminary array CGH and bioinformatic study allows us to expand the cohort. According to the available literature, this is the first comprehensive array CGH evaluation of a Russian cohort of children with neuropsychiatric disorders and congenital anomalies.”
“The objective of this study was to synthesize derivatives of the anti-HIV drug stavudine (d4T) with more favourable physicochemical properties for transdermal delivery in an

effort to increase transdermal penetration of stavudine and Geneticin datasheet thus reduce the severe side effects associated with the dose-dependent oral therapy. The synthesis, hydrolytic stability, and in vitro human skin permeation flux of a series of novel methoxypoly(ethylene glycol) (MPEG) carbonates of stavudine are reported. The carbonates were synthesized in a two-step process by coupling the MPEG promoiety of various chain lengths to C-5′ of d4T. In kinetic studies the carbonates proved to be markedly stable in weakly acidic phosphate medium (pH 5.0) with half-lives ranging from 16 to 58 days. The aqueous solubility increased as the ethylene oxide chain lengthened. However, there was no significant increase in the estimated solubility in octanol.

The improved SC characteristics are attributed to the product of

The improved SC characteristics are attributed to the product of the wider bandgap and low-conductivity ZnO(2) via grazing-incidence x-ray diffraction analysis. The rectifying behavior has the threshold dependence on the treatment time and has the reverse trend toward the surface asperities.

(C) 2009 American Institute of Physics. [doi:10.1063/1.3253763]“
“A cohort of 408 patients with bladder pain syndrome/interstitial cystitis (BPS/IC) was evaluated, and findings were discussed in this retrospective chart review.

Based on the chief complaints, they were divided into four subgroups: BPS/IC (n = 157), CPP (n = SRT2104 purchase 98), vulvodynia/dyspareunia (n = 40), and “”other”" (n = 113). Similar findings were found in all four subgroups: complaints of voiding dysfunction (70%), dyspareunia (54%), mean PUF score of 15.9 +/- 6.4, and a positive potassium sensitivity test in 83%. Urodynamics revealed a maximal urethral pressure of 131 cm of water and an abnormal uroflow in 80%. Urothelial therapy in the form of intravesical therapeutic anesthetic cocktails provided benefit in all groups (50%, 67%, 73%, and 77% for vulvodynia, CPP, BPS/IC, “”other”").

All subgroups had

similar findings and response to therapy. Five to 10% of patients with chief complaints of stress or urge Quizartinib chemical structure incontinence or prolapse were also found to have BPS/IC.”
“Background The construct of meaning in life (MiL) has raised the interest of clinicians working in psycho-oncology and end-of-life care. It has become a topic of scientific investigation where diverse assessment approaches have been applied. Aims: We present a comprehensive systematic review of existing MiL assessment instruments. Methods Electronic searches of articles published in English peer-reviewed journals were performed

in Psycinfo, Medline, Embase and Cinahl. Instruments are appraised with regard to ten measurement properties. Results In total, 59 nomothetic and idiographic MiL instruments were identified. Most instruments were developed in North America Elafibranor and meet basic psychometric criteria. They assess presence of and search for MiL, crisis and sources of MiL, meaning making, meaningful activity, MiL in the context of illness, breadth, depth, and other structural indicators. These aspects are largely consistent with existing MiL definitions. Nine out of 59 instruments included cancer populations in test development. Conclusions This overview of available instruments underscores the complexity of the construct and might assist researchers to select an appropriate instrument for their research needs. Finally, it points to the need for more integrative theorizing and research on MiL. Copyright (c) 2012 John Wiley & Sons, Ltd.”
“Microring resonator filters.

The exact role of these devices in routine and emergent situation

The exact role of these devices in routine and emergent situations is still evolving. Recent advances in simulation technology has become a valuable tool in imparting psychomotor and procedural skills to trainees and allied healthcare workers. Moving toward the goal of eliminating serious adverse events during the management of routine and difficult pediatric airway, authors propose that

institutions develop a dedicated Difficult Airway Service comprising of a team of experts in advanced airway management.”
“Poly (4-(4-vinylbenzyloxy)-2-hydroxylbenzaldehyde] was evaluated for removing tow concentrations of lead(II) in ppb levels from aqueous media. The effects of the pH condition and the initial lead concentrations on removal AZD1208 nmr were examined. It was selleck compound found that the

metal absorption is best described with the Langmuir model. The R(L) values obtained between 0.01 and 0.23 indicate that favorable absorption occurs in the studied concentration ranges. The kinetic study revealed that the metal removal proceeds at a very fast pace-less than 30 s-to reach the maximum capacity. The data fit the description of pseudo-second-order rate. The dynamic column study for real-time practical absorption also was investigated. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 113:2096-2102, 2009″
“Although silicon carbide has attracted extensive investigations of ion irradiation effects at low energy owing to its potential use in harsh environments, very few works were carried out in the field of ion irradiation at high energy. A recent preliminary study exploring the combination of low and high energy ion irradiation effects in silicon carbide BVD-523 revealed that the damaged layer formed by low energy ion irradiation can undergo an epitaxial recrystallization under subsequent swift heavy ion irradiation. The present paper is devoted to the investigation of the mechanisms at the origin of this phenomenon by performing additional experiments. A detailed analysis of the kinetics of this recrystallization effect demonstrates that

the latter cannot be explained by the models proposed for the well-known ion-beam-induced epitaxial crystallization process. Furthermore, it is found that this effect can be accounted for by a mechanism combining the melting within the ion tracks of the amorphous zones through a thermal spike process and their subsequent epitaxial recrystallization initiated from the neighboring crystalline regions wherever the size of the latter surpasses a certain critical value. (C) 2009 American Institute of Physics. [doi:10.1063/1.3236627]“
“Pediatric pain services were first established in larger pediatric centers over two decades ago. Children’s acute pain was poorly managed at the time owing to misconceptions, safety concerns, and variability in practice.

The association between TTO and VAS values and the different seve

The association between TTO and VAS values and the different severity levels of respondents’ answers on a self-rated health (SRH) selleck chemicals question was assessed.

Almost all dimensions (except usual activity) and severity

levels had less impact on TTO valuations compared with the UK study based on hypothetical values. Anxiety/depression had the greatest impact on both TTO and VAS values. TTO and VAS values were consistently related to SRH. The inclusion of age, sex, education and socioeconomic group affected the main effect coefficients and the explanatory power modestly.

A value set for EQ-5D health states based on Swedish valuations has been lacking. Several authors have recently advocated the normative standpoint of using experience-based values. Guidelines of economic evaluation for reimbursement decisions in MAPK inhibitor Sweden recommend the use of experience-based values for QALY calculations. Our results that anxiety/depression had the greatest impact on both TTO and VAS values underline the importance of mental health for individuals’ overall HRQoL. Using population surveys is in line with recent thinking on valuing health states and could reduce some of the focusing effects potentially appearing in hypothetical

valuation studies.”
“Organic mitral regurgitation (MR) is prevalent in the general population. Disease progression, involving potentially irreversible left ventricular dysfunction, implies a poor this website prognosis for patients who do not receive appropriate treatment. Immediate rescue surgery is indicated in those with severe MR in whom subclinical left ventricular dysfunction is suggested by echocardiographic measurements or the presence of symptoms, however minor. Patients whose symptomatology is unclear should be evaluated by exercise testing Not all forms of severe organic MR are the same: the

presence of risk factors in patients with severe asymptomatic MR and preserved ventricular function indicates a suboptimal prognosis over the medium-to-long term and should prompt early mitral repair if there is a low surgical risk and the probability of a successful repair is >90-95% The patient should be referred to a specialized surgical center if necessary. Appropriate training of surgeons in mitral repair is essential Ischemic MR carries a worse prognosis and the risk of surgery is higher Consequently, treatment decisions must be patient-specific and take into account the possibility of repair, the risk of surgery, and the need for concomitant surgical revasculanzation. New percutaneous approaches to mitral repair are being developed for selected patient groups.”
“Previous Studies have demonstrated that in the pentylenetetrazol (PTZ) kindling model, recurrent seizures either impair or have no effect on learning and memory.

The feminine

gender predominated, representing 60 0% of t

The feminine

gender predominated, representing 60.0% of the elderly. It was verified that 77.8% of the medicines used by the patients were Angiotensin Converting-Enzime (ACE) inhibitors. KPT-8602 concentration The average number of the medicines prescribed by the elderly was 4.5. The Drug Therapy Problems (DTP) 3 the most prevalent one, with 47.8%. It was verified that 45.0% of the elderly had regular adhesion to the treatment. The results showed the existence of risks related to pharmacotherapy used by the elderly and the necessity of the improvement of pharmaceutical care to this population, contributing, thus, to the improvement of their life quality.”
“Purpose: To determine, in Sprague Dawley rats, the toxicity profile of the methanol extract of Mentha spicata, a plant used in folklore medicine for the treatment of various forms of pain.

Methods: The plant extract, at concentrations ranging from 100 – 0.07 mg/ml, was used to determine the median lethal concentration (LC50) based on brine shrimp lethality assay. Artificial sea water served as control. Acute oral toxicity testing was carried out, according to the Organisation for Economic Co-operation and Development

(OECD) guidelines, based on serum biochemical analysis and histological investigations of liver, kidney, heart, spleen and lungs.

Results: The LC50 value of Mentha spicata was 1701 mu g/ml in brine shrimp lethality assay, indicating that the plant extract is non-toxic. selleckchem For acute toxicity testing, administration of a single dose of 5000 mg/kg extract to the rats did not produce toxicity, in terms of changes in behaviour or mortality. Moreover, the weight of major organs of the animals did not significantly (p > 0.05) differ from those of the control group. No toxicologically significant (p > 0.05) hematological and biochemical changes were noticed between animals treated

with the plant extract and control animals. Treatment with plant extract did not cause any morphological changes in the heart, liver, kidney and lung tissues of the rats. Histopathological examination JQ1 molecular weight also did not reveal any toxicity evidence in the extract-treated animals.

Conclusion: The results obtained suggest that the plant extract can be classified as non-toxic.”
“Objective: To determine whether a vaginal-rectal culture obtained after antibiotic therapy has begun accurately detects pre-existing colonization with group B streptococcus (GBS). Methods: A prospective cohort study of women presenting at in labor who were known to be colonized with GBS were recruited. A GBS culture was obtained prior to administration of intravenous penicillin prophylaxis and repeated 2 hours following the first dose of penicillin. The two results were compared. Results: Eighty subjects were recruited. Complete results were obtained for 61 (76 %) subjects. Of these, 47 (77 %) had a GBS positive on initial culture. Persistence of GBS 2 hours after antibiotic exposure was seen in 30/47 (64 %).

In the

11 livers surviving 20 years or more, follow-up bi

In the

11 livers surviving 20 years or more, follow-up biopsies were performed 18-20 years post-LTx (n = 10) and 6 years post-LTx (n = 1). Signs of chronic rejection were seen in three cases, with no check details difference between DCD and HBD. Our analysis with a 20-year follow-up suggests that controlled DCD liver grafts might be a feasible option to increase the donor pool.”
“Evaluation of: Cholesterol Treatment Trialists’ (CTT) Collaboration; Baigent C, Blackwell L, Emberson J et al.: Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomized trials. Lancet 376(9753), 1670-1681 (2010). As the primary target of therapy in the management of dyslipidemia,

LDL-C has been a central focus for practicing clinicians for more than a decade. National Cholesterol Education Program guidelines encourage physicians to lower LDL-C levels to outlined therapeutic targets on the basis of ongoing randomized controlled trials demonstrating significant benefit in cardiovascular outcomes among primary and secondary prevention individuals. Relevant epidemiological analysis of cardiovascular outcomes in the USA reports that although statin therapy provides a relative risk reduction of 30%, ERK signaling inhibitors many coronary heart disease patients at the LDL-C target level are still having major events, of which more than half are recurrent. Although statins – the mainstay of therapy are able to decrease LDL-C by a range of approximately 30-50% depending on the potency and dose of the statin administered, they remain underused in the clinical setting by practicing physicians. There also remains controversy as to whether

more intensive lowering of LDL-C provides additional cardiovascular benefit or not. Intensive lowering of LDL-C as it pertains to the incidence of cardiovascular outcomes (including myocardial GSI-IX research buy infarction, coronary revascularization and ischemic stroke) is assessed in this meta-analysis of 170,000 individuals from 26 large, randomized controlled trials. The implications of the Cholesterol Treatment Trialists’ Collaboration for practicing physicians are discussed here.”
“Study Design. Biomechanical study.

Objective. To compare the relative rigidity of C2 transpedicular versus intralaminar fixation with and without offset connectors in C2-C6 subaxial constructs.

Summary of Background Data. Insufficient biomechanical data exists on C2 laminar fixation in subaxial constructs, and no study has considered C2-C6 subaxial constructs or the use of offset connectors.

Methods. Six fresh-frozen cadaveric cervical spines underwent rigidity testing in the intact condition and after a destabilizing C3-C6 laminectomy. Specimens were instrumented with 20 mm pedicle and 20 mm intralaminar screws at C2, and with 14 mm lateral mass screws from C3-C6.