The element that displayed the greatest creatinine-corrected vari

The element that displayed the greatest creatinine-corrected variation in relation to the mean (in terms of GCV) was lead. In fact, lead displayed the greatest inter-individual GCV and intra-individual GCV of the 31 elements. Creatinine-corrected boron, cobalt, caesium, copper and selenium displayed the lowest intra-individual GCV, indicating that day-to-day variation of these elements in individuals are low in comparison to the other elements (after adjusting for gender). These elements are considered ‘essential’ elements and it is likely that the smaller variation is as a result of regulation of these elements in the body. When inter-individual variation

was investigated, scandium, selenium and titanium were found to exhibit the lowest inter-individual GCV, indicating Afatinib in vivo Alectinib concentration that creatinine-corrected concentrations of these elements varied least between individuals (after adjusting for gender), of the 31 elements. For those elements where a reduction in variability was seen, creatinine correction may

be beneficial. The effectiveness of creatinine correction was investigated further by fitting a mixed effects model to uncorrected data (on the natural log scale) with ln(creatinine) treated as a fixed effect in the model. For some elements, the coefficients for ln(creatinine) were not found to be significantly different from the value 1 and there was no significant difference in the within-person variability when compared to when using the creatinine-corrected data (Al, As, Ba, Cd, Co, Ga, Ge, Mo, Ni, Pb, Zn). For these elements, this result indicated that the creatinine corrected values were effective in reducing some of the variation in elemental concentrations due to urine dilution. For Be, Br, Cr, Ru, Ta and V, although there was no significant difference in GCVintra between the corrected and uncorrected

data, a significant reduction was seen in the model where ln(creatinine) was treated as a fixed effect with an estimated coefficient. This is analogous to adjusting for creatinine by dividing the elemental concentrations by a power (the estimated coefficient) of creatinine. The statistical analysis showed that this led to significantly lower intra-individual variation for those elements many than both corrected and uncorrected concentrations. The 95th percentiles of 61 elements in urine samples have been reported. Elements for which we have reported 95th percentile values but for which there is no available comparison are Br, Ce, Er, Ga, Gd, Ge, Hf, Ho, Ir, La, Rb, Rh, Ru, Sc, Sr, Ta, Th, Ti and Yb. The mixed effect modelling provides valuable information on the variation of elemental concentrations by accounting for correlations between repeat samples and modelling the intra-individual and inter-individual variability.

Biometry, growth, survivorship, reproduction and productivity hav

Biometry, growth, survivorship, reproduction and productivity have been studied in many different polychaetes in different seas, for example, in Pectinaria koreni ( Nicolaidou 1983), Eupolymnia crescentis, Neoamphitrite robusta, Thelepus crispus and Ramex californiensis ( McHugh 1993), Eunice fucata, E. insularis, E. cf. ornata, E. rubra, and Eunice sp. ( Costa-Paiva & Paiva 2007), Namanereis littoralis ( Ezhova 2011) and Marphysa MG 132 sanguinea ( El Barhoumi et al. 2013). Furthermore, laboratory biological studies have

been carried out on cultures of Neanthes arenaceodentata, Platynereis dumerilii and Nereis virens ( Reish, 1985, Jha et al., 1996 and Olive, 1999), while field studies were done on the cryopreservation of polychaete larvae ( Olive & Wang 1997), growth and reproduction in captivity ( Fidalgo e Costa, 1999 and Reish et al., 2009), spawning ( Watson et al., 2003 and Watson et al., 2005), sex pheromones ( Bartels-Hardege et al. 1996), breeding and optimisation of the growth process (cf. Olive 1999), and biometry and population structure ( Ménard et al., 1989, Omena and Amaral, 2000 and Dağli et al., 2005). Nereids are important prey for many crustaceans and fish (Arias & Drake 1995), and many of them are widely

used as fishing bait in the sea angling sport and leisure industry in different countries (Luis and Passos, 1995, Olive, 1999, Fidalgo e Costa, 1999, Dağli et al., 2005, Cunha et al., 2005 and Younsi MDV3100 et al., 2010). Although numerous studies have been done on the identification, abundance and distribution of polychaetes off the Egyptian Mediterranean coast (Dorgham et al. 2013), very Celecoxib little attention has been drawn to their biometry and reproductive biology. Pseudonereis anomala Gravier 1901 is a commercially important nereid polychaete in Egypt, where it

is usually collected by bait diggers and sold as live bait to fishermen and sea anglers. It is a lessepsian species that has acclimated well to the eastern Mediterranean ( Çinar & Ergen 2005) and has become one of the most important invasive polychaetes in the shallow-water benthic communities of the eastern Mediterranean in general ( Çinar & Altun 2007) and along the Alexandria coast (Egypt) in particular ( Hamdy 2008). The biometry and reproductive biology of P. anomala have never been studied in marine habitats anywhere in the world, except for the investigations into its reproduction and feeding behaviour off the coast of Turkey ( Çinar and Ergen, 2005 and Çinar and Altun, 2007). In Egyptian waters, one study was carried out on the spermatogenesis of Halla parthenopeia ( Abd-Elnaby 2009) and another one on the gametogenesis and spawning of Spirobranchus tetraceros ( Selim et al. 2005).

In accordance with our observations of N100, Ermolaev and Kleinma

In accordance with our observations of N100, Ermolaev and Kleinman (1983) found an inverse relationship between background illumination and N130 amplitude. Moreover, consistent with our observations, Noguchi and Sakaguchi (1999) observed significant changes in alpha power with changes in color–temperature. In summary, our findings provide compelling evidence that the illumination condition substantially influences our attentional processing which was reflected in the significant modulations

of EEG activity. Further studies on illumination parameter-dependent efficacy of the cognitive performance and selection of the effective illumination parameters are necessary to develop appropriate applications to enhance the efficacy of

our work-performance. For instance, such an PS341 illumination-mediated application to inefficient selleck screening library or impaired cognitive performance for probing its potential utility in the enhancement of work efficacy constitutes one of our future subjects of investigation. EEG was recorded from all 23 neurologically normal participants (11 females; mean age 23; age range 19–31 years) in this study in accordance with the ethics guidelines established by the Institutional Review Board of Yonsei University and the Declaration of Helsinki (World Medical Association, 1964; 2002). Participants provided informed consent prior to the start of the experiment. All had normal or corrected-to-normal vision. We used a 60×60 cm2 plate as the illumination source, which had 14×14 light-emitting diode (LED) arrays installed inside; this source was placed just above and behind next the participant with a tilt angle of 10° to the vertical line as shown in Fig. 3A. A controller (WE7000, Yokogawa, Japan) could regulate the illuminance and color–temperature of the LEDs. To make the illumination as homogenous as possible all around the participant, the present experiment was performed within a capsule-shaped light-reflecting structure (Fig. 3A) called the “Ganzfeld-dome,” with an optical geometry with a 2-m diameter. Four different illumination conditions were provided with

a factorial design of 2 color–temperatures (3000 K and 7100 K) by 2 illuminance levels (150lx and 700lx). This resulted in (1) the cool-dark (7100 K and 150lx), (2) the cool-light (7100 K and 700lx), (3) the warm-dark (3000 K and 150lx), and (4) the warm-light (3000 K and 700lx) conditions. Higher color–temperatures lead to bluish light, which we feel is a cool illumination condition; whereas lower color–temperatures produce yellowish or reddish light, which we feel is a warm illumination condition. These specific illumination parameters were chosen on the basis of the Kruithof curve (Kruithof, 1941), taking the technical limitation of the illumination device into consideration. Both comfortable and uncomfortable combinations of illuminance and color–temperature parameters have been described in the Kruithof curve.

62, p =  0338] Tukey post hocs revealed that middle-aged adults

62, p = .0338]. Tukey post hocs revealed that middle-aged adults had increased mean amplitude compared to adolescents (p = .0322, −1.9 vs −1.1 μV). There was no congruency main effect in the mean amplitude of the LRP [F(2,102) = 2.767, p = .0670] and no group × congruency interactions [F(2,102) = 1.727, p = .1496]. Fig. 7 depicts the response locked grand-averaged LRP waveforms. The peak amplitude of the middle age adults’ response locked LRP was significantly greater (−3.87 μV)

than adolescents (−2.62 μV) and young adults (−2.88 μV) [F(2,51) = 4.54, p = .015]. Tukey-HSD post hocs revealed that the peak amplitude Inhibitor Library cell assay significantly differed (p = .0169) between adolescents and middle age adults. There were no other significant effects in peak amplitude (group × congruency interaction, p = .5455), latency (group × congruency interaction, p = .9411), or mean amplitude (group × congruency interaction, p = .7973). As peak analysis in LRP is sometimes Pirfenidone variable particularly across development (Bryce et al., 2011), this data is further analyzed using jackknifing

to clarify and elucidate these findings. After jackknifing onset latencies were entered into a group (3) × congruency (3) repeated measures ANOVA. All of the results were non-significant [F(4,102) = .334, p = .8545]. The original degrees of freedom and adjusted F value were used as suggested by Ulrich and Miller (2001). Overall ERP measures of response level processing revealed two main findings. First, in terms of the LRP analysis group differences were found in the mean and peak stimulus locked LRP. There was decreased amplitude in the adolescent group when compared to the middle age group. This is in line with our prediction that adolescents would show differences in response level processing. This was also found for the peak amplitude of the response locked LRP. Second, in terms of congruency effects the latency in the RC condition tuclazepam was significantly later than the SC condition. This fits with the hypothesized

predictions and the RT data; RC is expected to yield the slowest responses. The grand-averaged EMG signal for correct and incorrect response hands is shown in Fig. 8. Correct response hand activity: One sample t-tests indicated that EMG activations in the correct hand robustly deviated from baseline across all the conditions (all .007 < p < .05). Mean EMG amplitude between 200 and 600 msec was entered into a group (3) × congruency (3) ANOVA. A significant main effect of congruency was found [F(2,102) = 24.71719, ɛ = .6772] and all congruency conditions significantly differed (p < .0001). There was no group difference [F(2,51) = 1.448, p = 9.2445] and no group × congruency interaction [F(2,102) = .358, p = .8375]. Incorrect response hand activity: One sample t-tests confirmed that incorrect EMG hand activation was significantly larger than zero (all .004 < p < .

Animal groups consisted of the control (placebo group – distilled

Animal groups consisted of the control (placebo group – distilled water) low dose (10 μl kerosene) and high dose (300 μl kerosene). All animals were maintained on regular rodent chow diet throughout the study. Kerosene (National Oil Corporation, Eldoret, Kenya) was delivered orally on a daily basis. Blood samples from animals

in all groups (control and treatment) Pexidartinib research buy were collected from the tail under local anesthesia at baseline, day 7 and day 14. Since T levels in young male rats have been shown to vary with time of the day [22] and [23], all blood collections were done between 12.00 noon and 1.00 PM at all time points. Animals were also observed for changes in behavior on daily basis during and after treatment. At the end of study (day 28) blood samples were collected via cardiac puncture under chloroform anesthesia. The stomach and the brain and esophagus tissues were dissected Staurosporine and fixed in 10% formalin and used for histological analysis. Whole blood was collected in EDTA vacutainers for full hemogram while blood samples for serum were collected in plain tubes and serum obtained after centrifugation at 3000 × g for 10 minutes at 40C and kept at -200C until use for determination of the biochemical markers. Animal weights were monitored on weekly basis. To evaluate the effect of kerosene supplementation on our experimental animal

behavioral changes, an observational method was used. In brief, rats were monitored for observable changes in behavior following dietary kerosene supplementation and also after bleeding. Aggressive behavior was defined as also burrowing (mechanical removal/moving of bedding material by rats within their cages) and fighting (chasing after other animals, voluntary attacks by one animal on another including biting and/or scratching) within a period of 20 minutes post supplementation among animals in the same group. Level of aggression was rated in terms of proportion of animals per group engaged in burrowing and fighting following kerosene supplementation. Comparisons in behavioral changes were made between the various

groups to determine the relative aggression. Serum Testosterone levels were determined by Enzyme linked immunoassay kit, (Human Diagnostics worldwide, Wiesbaden, Germany); ALT and AST activity were measured using reagent kits (Human Diagnostics worldwide, Wiesbaden, Germany; total proteins by biuret methods (Human Diagnostics worldwide, Wiesbaden, Germany); albumin by bromocresol green reagent (Human Diagnostics worldwide, Wiesbaden, Germany) according to the manufacturer’s instructions. Renal functions were monitored using serum creatinine levels by alkaline picrate method (Biosystems, Barcelona, Spain) according to the manufacturer’s instructions. The hematological parameters were determined using the ADVIA 120D hematology system (Global Siemens Healthcare, Henkestrasse, Germany) according to the manufacturer’s instructions.

MC concentrations detected in oysters harvested in the vicinity o

MC concentrations detected in oysters harvested in the vicinity of the southern drainage gate on December 10, 2007, were 0.37 μg/g wet weight (2.0 μg/g dry weight, Table 4). As the wet weight of this specimen was 12.0 g, the MC content of this single oyster was 4.4 μg, well above the TDI for a 60 kg adult (2.4 μg). The potential health implications of these MC levels are further exacerbated by local customs, which recommend

regular consumption of oysters by lactating mothers due to their high mineral content. Highly concentrated MCs were also detected in the liver, ovaries, and muscle of mullets collected from the reservoir (Table Gefitinib purchase 5). Based on the levels described here, it is strongly recommended that people avoid eating mullets caught in the reservoir. Mullets found in the reservoir appear to be limited to large individuals ∼80 cm in length, suggesting that these fish Cabozantinib clinical trial may have been trapped within

the reservoir since at least May 2002, the end of a short-term investigation in which the gates were left open. MCs are cyclic nonribosomal peptides. They can be very toxic for both plants and animals at sufficient doses. For acute toxicity, the LD50 of MC-LR is 43 μg/kg (mouse, i.p., Gupta et al., 2003). At lower doses, MCs inhibit protein phosphatase 1 and 2A, and promote the development of liver cancer (reviewed by Campos and Vasconcelos (2010)). However, liver dysfunction is a disease in which symptoms are slow to appear, and one that can be caused by a number of factors, making the true contribution of MCs difficult to ascertain. While the majority of the water found in Pyruvate dehydrogenase lipoamide kinase isozyme 1 the main reservoir is not used for agriculture, water from the mouth of the river is used. MC levels at this location were 0.60 μg/L on September 16, 2009, in water drawn up for the irrigation of reclaimed farmland. As the irrigation water had

already been filtered to some degree by the time it was tested, this suggests that the majority of MCs exist as dissolved particles. The molecular size of MCs are ∼1000 M, suggesting that they may be taken up into plants via the root hairs, or through the epidermis of vegetables ( Järvenpää et al., 2007 and Crush et al., 2008). In the UK, a case of MC levels reaching 2.5 μg/g dry weight was detected in lettuce leaves that had been irrigated with water containing cyanobacteria, including M. aeruginosa. Furthermore, not only were MCs detected in lettuce cells, viable M. aeruginosa cells remained in the leaves for up to 10 days after the harvest ( Codd et al., 1999). Within the reservoir, efforts have been made to reduce the levels of cyanobacteria in the water, including filtering and ozone treatment, however these efforts have ultimately proved ineffective. To filter the ∼400 million tons of water discharged from the reservoir every year, it would be necessary to process the water at a rate of 45,000 tons per hour, a level far beyond what is practical.

This study examined the influence of semantic information on read

This study examined the influence of semantic information on reading aloud, and whether individual differences in the use of this information were related to anatomical differences in relevant parts of the neural circuits for reading. Effects of imageability on RT ranged widely (Fig. 1B), suggesting that skilled readers differ in the extent to which they use semantic information in reading aloud. This variation was associated with the

volume of white matter tracts passing through both the ITS, an area that supports lexical semantic processing, and the pMTG, an area implicated in phonological processing. A similar effect was found for the volume of tracts passing through both the AG, an area associated with semantic processing, and the pSTG, an area associated with phonological processing. Variability in how words are read is often attributed to use of different strategies

or styles; our results show that one type of individual difference, Selleckchem CHIR-99021 GW-572016 cell line in the use of semantics in reading aloud, is associated with neuroanatomical differences. Further research will be needed to determine the origins of these individual differences. There may be differences in brain development and structure that cause individuals to vary in how they read aloud. Alternatively, the neuroanatomical differences could result, wholly or in part, from experiential factors including the nature of early language and reading experience, and how reading is taught. The latter alternative is suggested by a study showing white matter changes associated with interventions for reading problems (Keller & Just, 2009). Further studies of this type using other methods in which participants acquire new reading skills (Bailey et al., 2004, Carreiras et al., 2009 and Dehaene et al.,

2010) are necessary, however. It may also be possible to track the development of these pathways in longitudinal studies of children who transition from pre-readers to reading (for an example focused on the pOTS see Ben-Shachar, Dougherty, Deutsch, & Wandell, 2011). The analyses we conducted were hypothesis-driven, testing whether individual differences in reading aloud would be related to neuroanatomical differences in connectivity between areas thought to be involved those in mappings between semantics and phonology, as indicated by other findings. However, the results are novel and require both replication (e.g., with additional subject populations, such as younger readers and adults who vary widely in reading skill) and extension (e.g., addressing individual differences involving other types of information and tasks, and in English and other writing systems). The main result concerning relations between behavioral and neuroanatomical differences is correlational, and the functions of the two semantic-phonological pathways are underdetermined. These are important directions for future research stimulated by interesting results in a promising new area.

The analysis (see Table 6) shows that group membership had signif

The analysis (see Table 6) shows that group membership had significant and medium size (Problem 2: F(1, 111)=12.5; p<0.01; ω2=0.10) up to large effects (Problem 3: F(1, 111)=22.5; p<0.01; ω2=0.16; Problem find more 5: F(1, 111)=36.0; p<0.01; ω2=0.23) on the achievement measures (total: F(1, 111)=29.3; p<0.01; ω2=0.20). Note that the largest values were obtained for problems with competence levels

above III (see Table 3a), which, according to their definition involve transfer of knowledge ( Baumert et al., 2002). Prior achievement in physics had significant but small influence on Problem 2 (F(1, 111)=6.6; p<0.05; ω2=0.05) and Problem 4 (F(1, 111)=4.6; p<0.05; ω2=0.04), a large influence on Problem 3 (F(1, 111)=29.8; p<0.01; ω2=0.32) and a medium size effect in total (F(1, 111)=19.5; p<0.01; ω2=0.12). For school type, gender and the

remaining covariates neither any main effect nor any interaction with group membership were found to be significant. Motivation was analyzed in a repeated measures design and ANCOVA with treatment groups (group membership (GM) vs. Belnacasan mw school type (ST) and gender (GR)) as between subjects factors and time of measurement (pre-, post- and follow-up-test; MOT1-PRE vs. MOT2-POST vs. MOT3-FUP) as a within subject factor. Non-verbal intelligence, reading comprehension and prior achievement in physics were used as covariates (see Table 4 and Table 7 for descriptive data on MOT1-PRE and MOT2-POST as well as MOT3-FUP, respectively). Between subject effects ( Table 8a): significant and – without exception – large main effects Chloroambucil of treatment group were found for overall motivation and all its subscales (classroom climate CC: F(1, 111)=119.6; p<0.01; ω2=0.45; self-concept SC: F(1, 111)=109.8; p<0.01; ω2=0.48;

intrinsic motivation in general IM: F(1, 111)=92.2; p<0.01; ω2=0.44; total: F(1, 111)=125.7; p<0.01; ω2=0.52). Significant but small up to medium sized effects were obtained for interactions of group membership with school type (GM×ST; CC: F(1, 111)=7.4; p<0.05; ω2=0.06; total: F(1, 111)=5.8; p<0.05; ω2=0.04) and with gender (GM×GR; total: F(1, 111)=4.9; p<0.01; ω2=0.04) for some subscales and in total measurement of motivation. Also the interaction of group membership with school type and gender became significant but only with small up to medium effects on two of three subscales and on total motivation measurement (GM×ST×GR; CC: F(1, 111)=7.9; p<0.05; ω2=0.07; IM: F(1, 111)=10.3; p<0.01; ω2=0.08; total: F(1, 111)=6.0; p<0.05; ω2=0.05). As for covariate influences, a significant medium resp. large influence of ‘prior achievement in physics’ on two of three subscales of motivation was obtained, viz. classroom climate (CC: F(1, 111)=9.7; p<0.05; ω2=0.08;) resp.

A recent report by EURL-ECVAM on alternative methods ( Zuang et a

A recent report by EURL-ECVAM on alternative methods ( Zuang et al., 2013) also provided an update on the regulatory validation of several in vitro assays. To date EpiOcular EIT has passed initial validation studies ( Zuang et al., 2013) and guidelines are currently being drafted by the OECD (2014b). The HET and IRE have been rejected by ICCVAM while the EURL-ECVAM has requested further optimization of the test protocol. We have presented an overview of current practices

in ocular toxicity selleck chemicals llc testing. While progress has been made in developing a range of alternative techniques to in vivo testing, further progress is required to reduce the dependency of toxicity testing on live animals. Among the issues that need to be addressed by regulatory bodies is whether Draize testing should still be considered as the “gold standard” and whether results obtained from such testing used to validate or evaluate alternative tests. In order to advance alternative testing methodologies, there needs to be active engagement and dialog between scientific and regulatory communities. The authors declare that there are no conflicts of interest. Funding from EPSRC Engineering, Tissue Engineering and Regenerative

Medicine Fellowship (E-TERM, Grant number: EP/1017801/1) and the University of Nottingham HERMES Fellowship (Grant number: 13b/I9) is gratefully acknowledged. “
“The following corrections should be read in this learn more article:

BMDL(ID)s in Table 1: • % deformed sperm heads: is 143,867 ng/g lipid, not 2968 as printed; BMDL of PROD in males (Table 1 and text, Section 3.9) is 0.5 mg/kg bw, not 1.3. In Table 1, footnote ‘a’ also applies to the CYP1A2 mRNA in females. In Fig. 4B, horizontal axis units should be read as log10 ng pentaBDE per mg liver lipid instead of per 10 μg liver lipid. In the text, Section 2.10, the sentence explaining conversion of external to internal doses using a regression equation should be ignored. In Section 3.9, the last sentence of the second paragraph should read: The effect the size in the highest dosis showed a decreasing trend for some of these drug metabolism related parameters (Supplementary Table 9). These corrections do not affect the interpretations and conclusions of the paper. “
“The author regrets that the following error has inadvertently appeared in the above article. In Table 1 on page 82, in the first column, in the ninth line from the top, the term should have read ‘genistein’ instead of ‘genestin’. Please see below the corrected Table 1. “
“This article has been removed: please see Elsevier Policy on Article Withdrawal (http://www.elsevier.com/locate/withdrawalpolicy). This article has been removed at the request of the Author. This abstract was inadvertently published in the journal when the authors had requested that it should not.

All patients treated at our institution and for

whom medi

All patients treated at our institution and for

whom medical records were available were selected for inclusion in this retrospective study. Initial locoregional staging included a clinical evaluation performed by a gynecologic surgeon and radiation oncologist (according to the 1995 FIGO (International Federation of Gynecology and Obstetrics) classification (7)). Abdominopelvic MRI was obtained for 168 patients (74.3%) and CT imaging for 160 patients (70.8%). FDG-PET (fluorine-18-fluorodeoxyglucose positron emission tomography) scan was not systematically Bioactive Compound Library research buy performed, and no decision has been taken based only on its results; 148 patients (65.4%), mostly Stages I and II, with a good health status and without suspicious lomboaortic nodes at CT or MRI were selected to receive pelvic lymphadenectomy by coelioscopy first. Only 1 patient had a para-aortic lymphadenectomy. Nodal involvement was determined if histologically proven (65 patients) or suspected on CT (24 patients). All patients with positive lymph nodes, including IB1 stage, received first external beam radiation therapy and are included in the study. Stage IB1 patients treated with preoperative intracavitary PDR BT followed with colpohysterectomy were excluded from the analysis (19 patients). Institutional review board approval

was obtained for this study, and it was conducted in compliance with the Helsinki Declaration. All patients received 45 Gy pelvic external beam radiotherapy (EBRT) before PDR BT with a standard four-field technique (190 patients) GNAT2 or a two anterior/posterior opposing fields technique (36 patients) using high Venetoclax megavoltage photons from a linear accelerator (photons × 18 and 25 MeV). EBRT included the para-aortic area when the CT showed enlarged common iliac or para-aortic nodes. When the nodal involvement was histologically proved or suspected on CT, a complementary boost irradiation was delivered after BT to reach a minimum of 60 Gy to the parametria and/or involved pelvic nodes and 55 Gy to the para-aortic

nodes, taking into account the dose contribution of BT. From 1999, based on the results of randomized trials [8], [9], [10], [11] and [12], chemotherapy was given during EBRT for all stages ≥IB2, with intravenous cisplatin 40 mg/m² once a week for 5 weeks in 150 of 226 patients (66.4%). Chemotherapy courses were not delivered during the hospitalization for the BT procedure. After EBRT, the PDR BT boost was delivered during a single hospitalization, using the PDR Selectron (Elekta, Stockholm, Sweden). At the beginning of the BT procedure, a careful clinical examination was carried out under general anesthesia to assess clinical response to EBRT. A Fletcher applicator was used, and no patient underwent interstitial BT. Pulses were delivered hourly during night and day. Before 1999, the BT treatment planning dosimetry was based on orthogonal radiographs, in accordance with International Commission on Radiation Units (ICRU) 38 (13).