54 and 7 92 min with their relative amplitude of a1 = 0 291

54 and 7.92 min with their relative amplitude of a1 = 0.291

and a2 = 0.709, which are similar to those values obtained in the absence of scavengers. The difference in the amount of bound metal complex to dsDNA can be the reason for the different cleavage efficiencies. Therefore, the binding affinities of the M(bpy)2 complexes to dsDNA were examined by the absorption spectrum. The Cu(bpy)2 complex produced an absorption peak at 311 nm in the absence of dsDNA, which decreased with increasing dsDNA concentration (Fig. 7). An increase in dsDNA concentration also caused an increase in absorbance at long wavelength. This changes were accompanied by an isosbestic point at 316 nm, suggesting that a change in absorption spectrum occurred Selleck PARP inhibitor between the two states, namely dsDNA bound and free Cu(bpy)2. If this change occurs between the two states, the equilibrium constant can GSK2126458 research buy be calculated using a simple Benesi–Hildebrand equation. 1ΔA322nm=−1εb−εfLt+1εb−εfLtKBHdsDNA. In this equation, the molar extinction coefficient and the subscripts b, f and t denote the bound, free and total metal complexes, respectively. [Lt] and ΔA322 nm are the total complex concentration and change in absorbance at 322 nm, respectively. The association constant for the dsDNA-Cu(bpy)2 complex adducts formation, KBH, was calculated from the slope to intercept ratio of the Benesi–Hildebrand

plot of the reciprocal absorbance with respect to the reciprocal DNA concentration ( Fig. 7, insert). The association constant for the formation of the dsDNA-Cu(bpy)2 adduct was 7.4 × 103 M− 1. Values Orotidine 5′-phosphate decarboxylase of 3.2 × 103 M− 1 and 2.1 × 103 M− 1 were obtained for the Zn(bpy)2 and Cd(bpy)2 complex, respectively, using a similar approach (Figs. S1 and S2). The redox potentials of the M(bpy)2 complexes

may also be an important property that affects oxidative dsDNA cleavage. Fig. 8a and b shows the cyclic voltammograms and square wave voltammograms of the metal complexes, respectively. The redox potential for the Cu(bpy)2 complex using a glassy carbon electrode was observed at − 0.222 V vs. Ag/AgCl electrode with a peak to peak separation of 0.201 V (Ered = − 0.021 V) in a pH 7.0 buffer containing 0.1 M sodium phosphate and 2.5 mM cacodylate (curve a, panel a). A shoulder in the oxidation curve at − 0.070 V was also noted. The observed redox potential for the Cu(bpy)2 complex may correspond to the following reaction. Cu(II) + e− ⇌ Cu(I) In contrast, neither the Zn(bpy)2 nor Cd(bpy)2 complexes exhibited redox activity in the potential range tested in this study. The square wave voltammograms for the Cu(bpy)2 complex (curve a, panel b) produced a peak potential at − 0.175 V with a peak half-width of approximately 0.145 V. In addition to the cyclic voltammogram, no significant peak for the Zn(bpy)2 or Cd(bpy)2 complex was found, which is in contrast to the Cu(bpy)2 complex case.

It is important to remark that the procedure of increasing the nu

It is important to remark that the procedure of increasing the number of Gaussians that describe the local field is not straightforward, since in the AW fitting function, Eq. (4), one needs the second-moment pairs M2LT and M2HT. As M2HT depends on the geometry of motion, a priori information on the effect of motional line narrowing of each Gaussian used to describe the local field in the rigid limit is required.

Therefore, in the next section we present a geometry-sensitive algebraic method, earlier proposed by Terao and coworkers [48], to decompose the dipolar local field. As already mentioned in the last section, the double-Gaussian approximation for the local dipolar field is justified by earlier work of Terao et al. [48], who

Romidepsin price proposed learn more the decomposition of a CHn dipolar powder spectrum into 2n2n dipolar powder patterns, each one associated with specific proton spin configurations, see Fig. 7. The principal axes and values of the dipolar tensor corresponding to each component as well as their average values for the fast-motion limit can be obtained on the basis of the spatial arrangement of the CH bonds and the motional geometry, as proposed in Ref. [48]. Fig. 7 exemplifies this decomposition for the case of a CH2 group executing a planar three-site jump motion. The full dipolar spectrum can be decomposed into 4 components. However, in the rigid limit the dipolar pattern has only two components, since the proton spin configurations (↑,↑),(↓,↓) and (↑,↓),(↓,↑) lead to the same dipolar pattern, see Fig. 7a. Considering a fast three-site jump with the geometry presented in the inset of Fig. 7b, the dipolar patterns associated with the spin configuration (↑,↓),(↓,↑) narrows to an isotropic peak, while the configurations (↑,↑),(↓,↓) correspond to an axially symmetric Pake pattern, see Fig. 7b. Note that the motionally averaged patterns are sensitive

to the motional geometry, but can be precisely predicted as described in Ref. [48]. Given the Pyruvate dehydrogenase lipoamide kinase isozyme 1 possibility of decomposing the dipolar local field and calculating the dipolar tensor parameters, one can now approximate each component with a Gaussian local field with the same second moment as the dipolar field components associated with each distinct spin configuration. In general, this gives rise to a multi-Gaussian AW approximation, where the motional effect on each component of the dipolar pattern is considered independently. Nevertheless, one should note that for CH2CH2 the lower of the two M2HT is either zero or has a finite value, depending if the motion is evenly uniaxial (3 or more symmetric jump sites) or not. This shows that for CH2CH2 groups one should never need more than two Gaussians, which stands for a two-Gaussian approximation for the local field, as exemplified by the Gaussian powder in the inset of Fig. 7b.

In conclusion, four out of five common ozone-initiated terpene re

In conclusion, four out of five common ozone-initiated terpene reaction products do not contribute substantially to sensory irritation symptoms and pulmonary effects at indoor or ambient concentrations. IPOH may contribute to sensory irritation and conditions that promote excessive formation of 4-OPA should be minimized. Thus, exposure data for IPOH and 4-OPA are warranted. The authors declare no conflict of interest. This work was supported by Real Dania this website under the project CISBO (Center for Indoor Climate and Diseases in Dwellings) and the project “OFFICAIR”

(On the reduction of health effects from combined exposure to indoor air pollutants in modern offices) funded by the European Union 7th Framework (Agreement 265267) under the Theme: ENV.2010.1.2.2-1. “
“The Organisers of the IUTOX 2010 Conference regret that in the original printing of the above-mentioned Abstract, the text was produced incorrectly. The correct version of the Abstract is reproduced below. The Organisers would like to apologise for any inconvenience

this may have caused to the authors of this Abstract and the readers of the journal. P208-025 A study on histopathological changes of gastric parietal cells observed in beagle dogs with decreased food consumption Osamu Sawamoto, Tatsuru Fukuda, Yasutaka Hayami, Yoshifumi Nakashima Preclinical Assessment Department, Otsuka Pharmaceutical Factory, Inc., Japan Background: In toxicity studies, vacuolation of gastric parietal cells has been occasionally experienced in the beagle dogs with marked decrease in food Ergoloid consumption. In this poster, we present the histopathological HDAC inhibitor and ultrastructural features of the parietal cells observed in the stomach of beagle dogs with decreased food consumption. Materials and methods: Three 8-month-old male beagle dogs were given adequate calories and nutrients by total parenteral nutrition via a venous catheter for 13 days without oral feeding. Two control beagle dogs were intravenously

given 0.9% saline under oral feeding conditions. Stomach samples were taken for histopathology and electron-microscopy. Results: In histopathology, the vacuolation of gastric parietal cells (gastric gland) was seen in 2 of the 3 dogs given total parenteral nutrition without oral feeding. Morphological analysis of the parietal cells by TEM showed tightly closed intracellular canaliculus, increase in the tubulovesicle structure, and/or numerous cytoplasmic vacuoles as compared with the control dogs. These vacuoles contained concentric multilayer membrane structure and/or fluffy substance. Conclusions: It is known that parietal cells of the stomach secretes gastric acid in response to oral feeding, and the cells morphologically change depending on the presence or absence of feeding. It is reported that vacuolation of parietal cells is induced when gastric acid secretion is inhibited by surgical treatment.

Due to its high stress tolerance, barley is distributed all over

Due to its high stress tolerance, barley is distributed all over the world. Its growing areas extend from subtropical to temperate zones including North America, Europe, Northwestern Africa, Eastern Asia, Oceania and the Andeans countries

of South America (Fig. 2). However, as can be seen in Fig. 1 and Fig. 2, the intensive barley production areas are mainly non-acid soil regions of Europe, North America and Australia. In addition to natural soil acidity, many agricultural and industrial activities lead to increased soil acidity, including acid rainfall [16], fertilizer use, especially buy Natural Product Library acid-forming nitrogen fertilizers [17], and organic matter decay [18]. H+ ions in acid rain interact with soil cations and displace them from original binding sites; cation exchange capacity reduces and H+ concentrations in soil water increase, resulting in leaching [19]. When crops are harvested and removed from fields, some basic materials for balancing soil acidity are also lost, thus leading to increased soil acidity. Guo et al. [17] reported that intensive farming and overuse of N fertilizer contribute to soil acidification in China. Acid soil toxicity is caused by a combination of heavy metal toxicity, lack of essential nutrients and acidity

per se [20]. Large amounts of H+ ions have find more adverse effects on the availability of soil nutrients; availability decreases with falls in soil pH [2] and [21]. Low pH also increases the solubility of heavy metal elements, such

as iron (Fe), copper (Cu), manganese (Mn), zinc (Zn) and aluminum (Al) (Fig. 3). Only small amounts of these heavy metals are needed by plants and excessive amounts of soluble ions make them toxic to plant growth [22]. Aluminum, the third most common element in the earth’s crust, is one of the most toxic Isoconazole [23]. Above a soil pH of 6.0, aluminum forms non-soluble chemical components, with only a small proportion in soluble form in the rhizosphere (Fig. 3). When soil pH decreases, Al becomes soluble and causes deleterious effects [24]. A high concentration of H+ ions in acid soil is also toxic to higher plants, a feature that has been underestimated for several decades [26]. Acidity toxicity and Al toxicity cannot be separated since Al is only soluble in acid solution. Excessive H+ ions compete with other mineral elements such as phosphorus (P), magnesium (Mg), calcium (Ca), and Fe for plant absorption and disrupt transportation and uptake of other nutrients, resulting in reduced plant growth [27]. Kinraide [26] reported that H+ toxicity was dominant at low Al concentration. After screening different collections of the grasses Holcus lanatus L.

Whether OFC is able to select the appropriate task structure or j

Whether OFC is able to select the appropriate task structure or just applies this information computed by other frontal cortical regions

Rapamycin price is not yet known; as is shown in Figure 1B, encoding of decision type predominated across multiple regions of frontal cortex and was not unique to OFC. What is evident is that OFC can utilise information about task structure to promote rapid contingent learning. Unlike research into OFC function, evidence for the role of VMPFC in value-guided decision making has to date been largely driven by human studies. The BOLD signal in this region has often been shown to correlate with the current subjective value of various different types of options

33, 34 and 35]. This holds true even in the case where the particular item has never previously been directly experienced [36]. However, as with the OFC, the functional role of VMPFC value signals remains disputed. Representations of decision value are evident in many brain regions [37], thus an important question is to identify a neural signature of a decision. A version of PI3K Inhibitor Library cell assay a biophysically plausible attractor network model of a binary probabilistic choice process [38] suggests decision inputs (values) are initially summed, and then compete via mutual inhibition, producing a later, second signal reflecting the difference in value between the chosen and unchosen options [39••]. Critically, VMPFC activity contained both such signatures in the correct timeframe [39••]. In fact, in many situations when two choice options are presented, the BOLD signal in this region not only correlates positively with the subjective value of a chosen, attended

option, but also negatively with the value filipin of the next best, but rejected option 40, 41 and 42]. Recently, Strait and colleagues have reported comparable antagonistic effects between the values of two sequentially presented options in area 14 in macaques [43•]. Together, this evidence points towards an important role for VMPFC in a competitive value comparison necessary for decision making 3 and 39••]. Nonetheless, while VMPFC activation is common to a range of studies (outside the domain of decision making as well as within), it is not a signature of all decisions and is instead critically dependent on the local context. For instance, VMPFC value comparison signals are not observed when selecting whether to take an available option or to forego this to search for something better in the environment; only when a decision is made to engage with the current option does the VMPFC BOLD signal represent the value of this chosen item [44].

Superoxide dismutase (SOD), Catalase (CAT), glutathione peroxidas

Superoxide dismutase (SOD), Catalase (CAT), glutathione peroxidase (GPx) and glutathione reductase (GR) activities were determined in neutrophils using a microplate reader (Tecan, Salzburg, Austria). CAT activity was measured as described by Aebi (1984) based on the direct decomposition of hydrogen peroxide (H2O2). SOD activity was measured using the method described by Ewing and Janero (1995) which involves the reduction of O2- radicals by nitroblue tetrazolium (NBT) for 3 min. Glutathione Antiinfection Compound Library peroxidase (Mannervik, 1985) and glutathione reductase (Carlberg and Mannervik, 1985) activities were measured based

on the oxidation of β-NADPH in the presence of tert-butyl hydroperoxide, used as substrate. Reduced (GSH) and oxidized (GSSG) glutathione content in neutrophils were measured as described by Rahman et al. (2006). The method is based on the reaction between reduced thiol groups (such as in GSH) with 5,5´-dithiobis-2-nitrobenzoic acid (DTNB) to form 5-thio-2-nitrobenzoic acid (TNB), which is stoichiometrically detected by absorbance at 412 nm. Purified GSH and GSSG (Sigma-Aldrich) were used as standards. The total protein content of cells was measured by the method of Bradford, using BSA as standard (Bradford, 1976). All data points are presented as the mean values with standard errors of at least three independent experiments, each one performed in triplicate. The data were

analyzed by one-way ANOVA followed by the Tukey’s post-test. The software employed for statistical analysis selleck chemicals was GraphPad Prism (version4; GraphPad Software, San Diego, CA, USA). Cell membrane integrity was tested

by using flow cytometer and propidium iodide as a probe. After 24 h of culture, none of the groups showed any significant loss of cell membrane integrity. These results indicate that the concentrations of MGO, glucose, astaxanthin and vitamin C selected to evaluate the functional parameters of neutrophils did not cause cell death (Fig. 2). Additionally, MGO, high glucose, astaxanthin and vitamin C alone did not promote changes in cell viability (data not shown). In order to determine the potential of MGO and glucose to modulate the phagocytic capacity of human neutrophils, we measured DNA ligase the incorporation of opsonized zymosan particles in the cells (Table 1). There was a significant decrease of 30% in the phagocytic capacity of neutrophils after treatment with glucose + methylglyoxal (GM group), whereas there was an increase of 22% in the phagocytic capacity after AV-treatment as compared to the control group. When GM-treated cells were added with antioxidants (AVGM group) we observed a complete restoration in the phagocytic capacity. Neither glucose nor MGO alone promoted the same effect observed when those compounds were combined (data not shown). Vitamin C alone promoted improvement in the phagocytic capacity (data not shown).

Por este motivo, não se pode afirmar, mas pode levantar-se um ele

Por este motivo, não se pode afirmar, mas pode levantar-se um elevado grau de suspeição sobre a etiologia

desta cirrose hepática. É importante perceber que é possível intervir mais precocemente e mais agressivamente nos doentes com fatores de risco para a esteatohepatite não alcoólica e consequentemente com risco de evolução para cirrose. Tendo em conta os fatores de risco para o surgimento da EHNA, as principais medidas preventivas passam por: Dieta e exercício físico: dieta rica em fibras, pobre em gorduras saturadas e colesterol e com reduzida quantidade de açúcares simples, associada a uma atividade física moderada 30 a 40 minutos por dia. Estes 2 elos são de extrema importância para www.selleckchem.com/products/abt-199.html atingir todos os objetivos descritos de Selleck AZD1208 seguida. Controlo de peso: com o objetivo de atingir um Índice de Massa Corporal ideal e perímetro abdominal < 94 cm nos homens e < 80 cm nas mulheres; Controlo de colesterol e triglicéridos: objetivos – triglicéridos < 150 mg/dL, HDL > 40 mg/dL nos homens e > 50 mg/dL nas mulheres. Se a dieta for insuficiente, ponderar início de fármacos hipolipemiantes. Controlo da tensão arterial: atingir valor alvo < 130/80 mmHg.

A dieta e exercício físico contribuem de forma significativa para esta redução, contudo se insuficientes devem ser iniciados fármacos anti-hipertensores. Controlo de glicemia: nos casos de intolerância à glicose ou diabetes mellitus diagnosticados, a glicemia deve ser rigorosamente controlada. Iniciar sempre mudança de estilo de vida e depois fármacos hipoglicemiantes se necessário. Numa sociedade onde a prevalência do síndrome metabólico continua em fase de crescimento acelerado, urge compreender a variedade HSP90 de complicações associadas a essa condição, educar a população acerca de todos esses problemas, identificá-los e atuar perante os mesmos,

de forma a diminuir a mortalidade e morbilidade. Os autores declaram não haver conflito de interesses. “
“A enteroscopia por duplo balão (EDB) é um novo método que permite a avaliação endoscópica da mucosa do intestino delgado, bem como a realização de biópsias para análise histológica e procedimentos terapêuticos1. No entanto, a EDB tem disponibilidade limitada, é uma técnica laboriosa e consumidora de recursos técnicos e humanos. Apresenta-se um caso que ilustra a utilidade clínica da EDB no diagnóstico de patologias do intestino delgado. Mulher, de 81 anos de idade, com anemia ferropénica e necessidade de suporte transfusional. A endoscopia digestiva alta e a colonoscopia total não identificaram lesões potencialmente hemorrágicas. Efetuou enteroscopia por cápsula (EC) que mostrou, no íleon distal, uma lesão ulcerada, de bordos elevados, ligeiramente procidente no lúmen, sugestiva de lesão subepitelial (fig. 1). A tomografia computorizada abdominal não revelou alterações. A doente foi referenciada à nossa instituição para realizar EDB.

To further investigate this, we carried out acute toxicity test s

To further investigate this, we carried out acute toxicity test separately with sodium alginate and preformed silica matrix. In the last case, the inorganic matrix synthesis was done as described before except for the fact that aliquots of 100 μL of the precursor mix were poured into individual molds to obtain silica hydrogel monoliths of identical volume and shape. The different level of exposure of daphnids

to silica preformed matrix was achieved by adding a different number of silica preformed pieces in each test tube. Results showed no toxic acute effect of silica MDV3100 in vitro hydrogel on D. magna at 48 h (maximum exposure: silica volume of 400 μL and contact surface area of 360 mm2 in a total volume of 10 mL). On the other hand, alginate polymer showed a high toxicity effect. The LC50 (lethal concentration Bortezomib in vitro for 50% of population) at 24 h of exposure is 1.3 mg/L of sodium alginate and the LC95 (lethal concentration for 95% of population) at 24 h is 2.5 mg/L, much lower than the alginate concentration required for the formation of calcium alginate shell capsules. Furthermore, a concentration of 0.4 mg/L of sodium alginate

was lethal after 48 h of exposure. D. magna being a planktonic crustacean, the alginate itself is not expected to cause a direct deleterious effect, and mortality could be due to the depletion of multivalent cations from the culture medium and/or the viscosity generated by the polymer chains partially crosslinked by multivalent cations.

This could affect neonate daphnids by at least two mechanisms: physical exhaustion derived from moving in a higher viscosity medium through and/or the obstruction of the sites of respiratory gas exchange, which takes place at the level of the integument [17]. This prompted us to design a new immobilization method in order to obtain portable modular biosensors. As the contact with a silica matrix seemed to be well tolerated by these organisms and calcium alginate per se is not expected to cause toxicity, a new procedure in layers was designed, generating a liquid microenvironment inside the silica matrix. As described in Section 2, daphnids and microalgae cells in liquid M4 media are poured into a small mold and CaCO3 nanoparticles are gently placed on the surface of the liquid, a volume of sodium alginate solution added on top and CaCl2 solution added as a mist, form a calcium alginate thin layer on the surface of the liquid, which is supported by the inclined lateral walls of the mold (see Fig. 3). The second step of the immobilization procedure consists on the synthesis of the inorganic matrix above the calcium alginate layer, leading to a silica nanoporous layer of 2.0 mm width. To evaluate the biocompatibility of this immobilization procedure, the mobility of daphnids was evaluated for a 48 h period. The analysis reveals that 96% of the D.

This observation implies a highly polygenic and pleiotropic archi

This observation implies a highly polygenic and pleiotropic architecture for behaviors and is consistent with their modularity, that is complex ABT-737 ic50 behaviors can be dissected into constituent components, with overlapping genetic networks underlying each component (e.g. locomotion would be a constituent component of aggression as well as mating

behavior; Figure 1). Large phenotypic effects that arise from disruption of a single gene can lead to the identification of cellular pathways or mechanisms that are instrumental in enabling the behavior. A classic example is the elucidation of the regulatory feedback loops that control the circadian clock which largely came from studies on single gene mutations [23 and 24]. However, effects on downstream gene products and genes that regulate these feedback loops

and their interactions that lead to the ultimate expression of circadian behavior remain to be fully understood. Similarly, disruption of single genes, including tailless [ 25] and Tachykinin (Tk) and its receptor, Takr86C [ 26•], and inactivation of the neurons in which they are expressed have identified a neural circuit that contributes to aggression and originates in the pars intercerebralis, a brain structure also implicated in the control of sleep see more [ 27]. However, other brain regions, including the mushroom bodies [

28], dopaminergic C1GALT1 projections to the central complex [ 29], octopaminergic neurons in the suboesophageal ganglion [ 30] and input via the olfactory projection [ 31 and 32•] are also implicated in aggression. Furthermore, transposon insertions in as many as 57 genes from among 170 genes surveyed resulted either in reduced aggression or hyper-aggression [ 33]. Thus, the mechanisms that regulate aggression depend on integrated neural circuits and a complex and extensive underlying genetic architecture, in which disruption of any major single gene component can result in an abnormal behavioral phenotype. These examples illustrate how mutagenesis studies can provide significant insights into some of the underlying cellular mechanisms that drive behaviors. For any given behavioral phenotype, however, such studies have also led to a pantheon of genes with diverse annotated functions, each of which affects the phenotype, but without indication of how these genes interact together as a functional ensemble that gives rise to the phenotype. Putting these independent snippets of information in a common framework is the goal of systems genetics approaches (Figure 2).

As SRL has a long-half-life, C0 obtained 5–7 days after

t

As SRL has a long-half-life, C0 obtained 5–7 days after

the start of treatment or dosage change should be used Selleck Talazoparib to determine dose adjustments while 4 days at the most is needed for EVR owing to its shorter half-life. After the initial dose titration, weekly SRL C0 measurements during the first month, then every 2 weeks, have been recommended [55]. There are several assays available to measure blood mTOR inhibitor levels, with High-Pressure Liquid Chromatography coupled with Mass Spectrometry (HPLC/MS) being the most accurate and specific method. Immunoassay is also a reliable and more convenient alternative. It is important to know which assay is being used, as immunoassays may lead to overestimation of EVR and SRL concentrations as a result of cross-reactivity with metabolites [56]. Differences in immunosuppressive dosages and regimens among the studies make it difficult to determine the optimum dosing strategy for TAC with mTOR inhibitors. Therapeutic target ranges for TAC when

used in combination with EVR or SRL are not as yet established. It should be Lumacaftor purchase remembered, however, that higher doses of mTOR inhibitors are required when administered with TAC than with CsA [44]. In general, there is little interaction between TAC and mTOR inhibitors, whereas interactions between CsA and mTOR inhibitors are more pronounced and result in higher blood levels of mTOR inhibitors [40] and [44]. Consequently, higher starting doses of EVR are needed when combined with low-dose TAC than with CsA to

prevent increased risk of rejection. In addition, careful concentration monitoring of both EVR and SRL is advisable when patients are switched between CNIs [34]. Alanine-glyoxylate transaminase The EVR/CsA interaction is one of the reasons twice-daily dosing is recommended for EVR. Clinical data on the use of EVR or SRL in TAC minimization strategies in renal transplantation are limited. Available evidence suggests that treatment with EVR allows early and substantial TAC minimization when used with basiliximab induction and corticosteroids. The lack of clear differentiation in TAC exposure between standard- and reduced-dose TAC groups in the US09 and ASSET studies highlights ongoing reluctance to reduce CNI exposure even in the presence of EVR. SRL has also been used successfully as part of a TAC-minimization strategy, resulting in similar efficacy and less nephrotoxicity when compared with SRL/standard TAC. However, comparative studies support the use of other regimens (e.g., SRL/MMF, MMF/TAC) over SRL/TAC in this population. The findings with SRL, however, reflect single-center experiences. AEs are common in all transplant patients receiving immunosuppressive therapy. Several safety concerns may arise from using an mTOR inhibitor and TAC minimization therapy.