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.