Direct infusion of SDF-1 alpha/CXCL12 into the PAG failed to alte

Direct infusion of SDF-1 alpha/CXCL12 into the PAG failed to alter the antinociceptive action of buprenorphine. The presence of SDF-1 alpha/CXCL12 in the PAG differentially alters selleck chemical the antinociceptive function of opioid medications. While it was able to diminish the antinociception induced by morphine (Adler et al., 2006), SDF-1 alpha/CXCL12 did

not affect the buprenorphine-induced antinociception. Buprenorphine appears to be more effective in the presence of high levels of SDF-1 alpha/CXCL12 in the brain (which frequently occurs during neuroinflammatory conditions). Published by Elsevier Ireland Ltd.”
“Copper-nanoparticle (CuNP)-filled nanocomposites were prepared with various particle sizes and loadings. The nanocomposites incorporating 20-nm CuNPs with 5 vol % loading displayed optimum properties as determined by electrical, mechanical, and thermal characterization. Silver nanoparticles (AgNPs) with a size of 20 nm were loaded into the epoxy resin to allow a

comparison of the properties. Interestingly, at the percolation threshold, a 5 vol % loading of CuNP and AgNP nanocomposites resulted in slightly similar electrical conductiv-ities of 0.01 and 0.02 S/cm, respectively. The CuNP and AgNP nanocomposites were also subjected to thermal aging at 150 degrees C, and we observed that the electrical conductivity of both nanocomposites dropped only by about one order of magnitude after 8 weeks of exposure. (C) 2011 Wiley RSL3 Periodicals, Inc. J Appl Polym Sci 121: 3145-3152, 2011″
“Background: There is a dearth of research focusing on sex work in exotic dance clubs. We conducted a cross-sectional study to examine the prevalence and correlates of crack cocaine smoking among a sample of exotic dancers.

Methods: The “”block,”" a historical red-light district in downtown Baltimore, MD, is comprised of 30 adult-entertainment establishments. Between 01/09 and 08/09, we conducted a survey with exotic dancers (N = 98). The survey explored demographic, and drug and sexual/drug risk behaviors. Bivariate and multivariate analysis was conducted using Poisson

find more regression with robust variance estimates to examine correlates of current crack smoking.

Results: Crack cocaine smokers compared to non-crack cocaine smokers were significantly more likely to report: older age (29 vs. 23 years, respectively, p < 0.0001); being White (79% vs. 50%, respectively, p = 0.008); having been arrested (93% vs. 67%, respectively, p = 0.008); daily alcohol consumption (36% vs. 17%, p = 0.047); current heroin injection (57% vs. 13%, p < 0.001); and current sex exchange (79% vs. 30%, p < 0.001). In the presence of other variables, crack cocaine smokers compared to non-crack cocaine smokers were significantly older, more likely to report current heroin injection, and more likely to report current sex exchange.

For antioxidant activity, the most active alkaloid was asimilobin

For antioxidant activity, the most active alkaloid was asimilobine with ORAC value of 2.09 relative trolox equivalents. For antimicrobial activity, learn more some alkaloids showed significant minimal inhibitory concentration (MIC) values in the range of 25-100 mu gmL(-1). The most active compounds were the aporphinoids liriodenine, anonaine and asimilobine, some of them more active than the positive control.”
“Four compounds obtained from the ethyl acetate-soluble neutral fraction of methanol extracts of the Welsh onion (Allium

fistulosum L.) were purified by column chromatography using silica gel, octadecyl silane (ODS), and Sephadex LH-20 with a guided DPPH radical scavenging assay. After purification, the compounds were isolated by ODS-HPLC. The isolated compounds were identified as N-trans-feruloyl-3′-methoxytyramine (1), N-cis-feruloyl-3′-methoxytyramine Selleck SHP099 (2), N-trans-p-coumaroyltyramine (3), and 3,5,7-trihydroxyflavone (kaempferol, 4) based on the spectroscopic

data of NMR and MS. To the best of our knowledge, this is the first study to identify compound 1-3 in the Welsh onion. Compound 1 and 2 showed significantly (p < 0.05) higher DPPH radical scavenging activities than compound 3.”
“We report the temperature dependence of photoluminescence (PL) spectra for InN. For a free-carrier concentration n=5.9×10(17) cm(-3) and low temperature, the main PL band is observed at 0.669 eV. The PL shift and broadening are described from 20 to 300 K based on electron-phonon interactions. Two discrete phonon sidebands (PSBs) are observed with corresponding phonon energy of similar to 69 meV. The PSB temperature shift and linewidth broadening are well described by previous theory.”
“Artemisia copa Phil. (Compositae) is used in popular medicine as a digestive and for gastric pains. The effects of A. copa aqueous extract and its isolated compounds were evaluated on isolated rat jejunum. The extract inhibited non-competitively the cumulative concentration-response curves induced by acetylcholine

and CaCl2. The tonic jejunum contractions induced by 80mM KCl were inhibited by A. copa. Relaxant effects of A. copa on the tonic contraction check details induced by 25mM KCl, [EC50: 0.94mgmL(-1) (0.64-1.39)], was not inhibited by glibenclamide, TEA, l-NAME or methylene blue. Chrysoeriol, spinacetin and luteolin (30 mu gmL(-1)), produced an antagonism on the CaCl2 concentration-response curve, showing an inhibition of the maximum contractions (70.0%+/- 5.0%, 49.1%+/- 4.5% and 77.0%+/- 3.5% of E-max, respectively), whereas tricin did not inhibit when the same concentration was used. A. copa exerts spasmolytic activity by blocking calcium channels and three isolated compounds could be, at least partly, responsible for the effect.”
“We report the dependence of the ferroelectric domain configuration and switching behavior on the shape (square versus round) of epitaxial BiFeO3 (BFO) nanostructures.

Several factors could explain our findings, including the possibi

Several factors could explain our findings, including the possibility of publication bias in the current literature.”
“Background: Polymyositis (PM) and dermatomyositis (DM) are infrequent diseases. Data on incidence and prevalence are scarce and conflicting. There are no such data in Latin America and in Argentina in particular.

Objectives: We undertook to examine the incidence and prevalence of PM/DM in the prepaid health maintenance organization (HMO) of our hospital, in the city of Buenos Aires.

Methods: Members of the

HMO between January 1999 and June 2009 were identified from medical records of patients followed up by us at the HMO. Incident cases and prevalence were calculated at the end Omipalisib of the period.

Results: During the study period, 146,747 persons contributed a total URMC-099 of 937,902.6 person-years (mean age was 46.6 [SD, 18.4] years, and 59% were female). Ten incident cases were detected, 7 women and 3 men with a global incidence rate (IR) of 1.07 per 100,000 person-years

(95% confidence interval [CI], 0.5-1.84). Three subjects had DM with an IR of 0.32 per 100,000 person-years (95% CI, 0.1Y0.99), and 7 had PM with an IR of 0.75 per 100,000 person-years (95% CI, 0.35-0.16). On June 1, 2009, 17 prevalent cases were detected, with a mean age of 48.9 (SD, 17.7) years; 76% were female, representing a prevalence of 17.4 per 100,000 persons (95% CI, 10.1-27.8). Among the 17 patients with idiopathic inflammatory myopathy, 10 patients had DM, with a prevalence Caspase activation of 10.22 per 100,000 persons (95% CI, 4.9-18.8), and 7 had PM (prevalence, 7.2 per 100,000 persons [95% CI, 2.9-14.7]).

Conclusions: It is difficult to compare studies from different populations and using different ascertainment techniques. These first data from Latin America are in general agreement with many studies.”
“The aim of this randomized, parallel-arm, open-label trial was to compare lumbar versus thoracic epidural morphine for severe isolated blunt chest wall injury as regards the incidence of pulmonary complications and pain control.

Fifty-five patients who sustained

severe isolated blunt chest wall trauma were randomized using a computer-generated list to receive epidural morphine injection every 24 h through an epidural catheter inserted into the lumbar (n = 28) or thoracic (n = 27) region. Need for mechanical ventilation, incidence of pneumonia, arterial blood gas values, and pulmonary function tests were compared in both groups. Pain scores, supplemental analgesic consumption, length of intensive care unit (ICU) stay, and occurrence of epidural morphine-related side effects were compared as well. Primary outcome measures were need for mechanical ventilation and incidence of pneumonia.

Five (17.9 %) patients in the lumbar group were mechanically ventilated, compared with six (22.2 %) in the thoracic group (hazard ratio 1.

Results Sixty-one patients were enrolled from the Salt Lake City

Results Sixty-one patients were enrolled from the Salt Lake City Veterans Affairs Hospital; 51 completed the study and were included in the analysis. All patients were randomized to receive half of a sachet of imiquimod 5% cream twice weekly on half of their face and two sessions of PDT with 20% solution of ALA applied for 1 hour to the other side of the face. The 75% AK clearance rate was 34.6% for ALA-PDT and 25% for imiquimod 5% cream (p = .30).

The mean reduction in AK count was 59.2% for ALA-PDT and 41.4% for imiquimod 5% cream (p = .002). Dermatology Life Quality Index (DLQI) scores were assessed for each treatment modality at week 4 and were 1.95 and 1.38, respectively (p = .20).

Limitations The sample size was small, and patients applied a small amount of imiquimod 5% cream (half a sachet) to a large surface area.

Conclusion There Selleckchem Etomoxir was no statistically significant difference in treatment response when the 100% or 75% clearance rate cutoff was used, but our secondary outcome suggests that two sessions of ALA-PDT is superior to imiquimod 5% cream for the treatment of AKs. There was no statistically significant difference in effect on quality of life

as assessed using the DLQI.”
“The mixed polymer brushes composed of two incompatible polymers, poly(methyl methacrylate) were Successfully synthesized and poly(ethylene glycol), via a sequential grafting to method, which was confirmed by water-contact angle and ellipsometric measurements. selleck chemicals llc The resulted mixed polymer brushes Could undergo conformational rearrangements upon exposure to different selective solvents, and then the lateral segregation in nonselective solvent and perpendicular segregation in selective solvent happened. As a result, the mixed polymer brushes exhibited the ripple morphology and dimple morphology in corresponding

solvent, respectively, and which led to changes in water-contact angle and surface composition as a function of bulk composition of the mixed polymer brushes. Moreover, the switching properties as the surface composition, wettability AZD6738 concentration and topographical images could occur in a controlled and reversible fashion. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 112: 2112-2119, 2009″
“Study Design. Multicenter analysis of 2 groups of patients surgically treated for Lenke 5C adolescent idiopathic scoliosis (AIS).

Objective. Compare patients with Lenke 5C scoliosis surgically treated with anterior spinal fusion with dual rod instrumentation and anterior column support with patients surgically treated with posterior release and pedicle screw instrumentation.

Summary of Background Data. Treatment of single, structural, lumbar, and thoracolumbar curves in patients with AIS has been the subject of some debate.

What are the clinical outcomes of the current indications for con

What are the clinical outcomes of the current indications for conventional radiotherapy alone and stereotactic radiosurgery for metastatic spine disease?

2. What are the current dose recommendations and fractionation schedules for conventional spine radiotherapy and stereotactic

radiosurgery for metastatic spine disease?

3. What are the current known patterns of failure and complications after conventional spine radiation and stereotactic radiosurgery for metastatic spine disease?

Results. For conventional radiotherapy, the initial literature search yielded a total of 531 potentially relevant GS-7977 abstracts. Each of these abstracts was reviewed for relevance, and 62 were selected for in-depth review. Fortynine studies

met all the inclusion criteria. References from the articles included in the analysis and review articles were also examined for potential inclusion in the study. For conventional radiotherapy, 3 randomized trials (high-quality evidence), 4 prospective studies (moderate-quality evidence), and over 40 nonprospective selleck inhibitor data sets (low- or very-low-quality evidence) that included over 5000 patients in the literature were included in this review. Drawing from the same databases, a systematic search for radiosurgery yielded 195 abstracts, of which 29 met all inclusion criteria. They all represented single-institution reports (low-or very-low-quality data). No randomized data are available for spine radiosurgery.

Conclusion. A systematic review of the available evidence suggests that conventional radiotherapy is safe and effective with good symptomatic response and local control, particularly for radiosensitive histologies. A strong recommendation can be made with moderate quality evidence that conventional fractionated radiotherapy is an appropriate initial therapy option for patients with spine metastases in cases in which no relative contraindication exists. A systematic review of the available evidence suggests that radiosurgery is safe and provides an incremental benefit over conventional radiotherapy with more durable symptomatic response and local CHIR-99021 control independent

of histology, even in the setting of prior fractionated radiotherapy. A strong recommendation can be made with low-quality evidence that radiosurgery should be considered over conventional fractionated radiotherapy for the treatment of solid tumor spine metastases in the setting of oligometastatic disease and/or radioresistant histology.”
“A new method for coating glass slides with ZnO particles with an average size of 200 run is proposed in the Current article. The coating was performed under microwave radiation. Two main morphologies are found for the ZnO crystals that are deposited on glass slides. The first morphology is that of a very dense coating of ZnO hexagonal rods growing perpendicular to the glass surface. The second is the growth of ZnO flower-like particles.

Above research showed that 60% methanol extracts and ethylacetate

Above research showed that 60% methanol extracts and ethylacetate fractions from chestnut inner skin resulted in a dose-dependent manner on selleck compound in vitro antioxidant effects. Especially, the ethylacetate fractions inhibited enzyme activity of mushroom tyrosinases with an IC50 value of 160 mu g/mL. Ethylacetate fractions from chestnut inner skin also decreased cellular melanin synthesis in B16F10 melanoma cells. Expression of tyrosinase showed that ethylacetate fractions from chestnut inner skin significantly decreased cellular melanogenesis. Consequently, these results suggest that chestnut inner skin extracts can be considered for a whitening

agent of human skin.”
“We investigate the transmission characteristics of metallic film perforated with a two-dimensional array of compound coaxial structures with central and annular apertures by using a charge oscillation picture. It is found that the transmission peak mainly resulted from the resonance of the central apertures (annular apertures) in such structure exhibits changes in position and intensity in comparison

with that in the corresponding structure of aperture array (annular-aperture find more array) due to the effect of the oscillating charges appearing near the annular apertures (central apertures) on the transmission peak. The transmission peak corresponding to the resonance of the central apertures (annular apertures) can be tuned by changing not only the geometrical parameters of the central apertures (annular apertures) but also the sizes of the annular apertures (central apertures). Our results may be utilized to control the electromagnetic wave in subwavelength MDV3100 concentration optics.”
“P>Solid organ transplanted patients represent a complex and multi-morbid population with potential acute illness. They are at high risk not only for chronic renal failure

(CRF), but also for acute kidney injury (AKI) and little is known about the overall epidemiology or prognosis. We conducted a retrospective review of all solid organ transplant patients who required emergency renal replacement therapy (RRT) for AKI during a period of 7.5 years. We identified 53 episodes of AKI requiring RRT occurring in 51 transplanted patients, and 58.5% of them were freshly (< 48 h) transplanted when admitted in ICU. The majority of episodes were a result of cardio-circulatory or septic events (84%), and a large proportion of the AKI episodes were a result of multifactorial causes (27%). Overall 90 days mortality was 49%, and no difference was detected between kidney and nonkidney transplants. On univariate analysis, the risk factors for death were smoking status [OR = 4.09 (CI 95%: 1.16-14.43); P = 0.028] and sepsis [OR = 4.

The concentrations of probe drugs in rat plasma were measured by

The concentrations of probe drugs in rat plasma were measured by liquid chromatography-tandem mass spectrometry (LC-MS). In the experiment for chidamide and control group, there was no statistical pharmacokinetic differences for bupropion, midazolam, and omeprazole, while there was statistical

pharmacokinetic differences for metroprolol and tolbutamide. Chidamide could not influence the activities of CYP450 isoforms CYP2B6, CYP2D6, CYP3A4, CYP2C19, and CYP2C9 of rats, while it could inhibit the activities of CYP2D6 and CYP2C9.”
“Background: LY2090314 molecular weight The understanding of the epidemiology of severe malaria in African children remains incomplete across the spectrum of Plasmodium falciparum transmission intensities

through which communities might expect to transition, as intervention coverage expands.

Methods: Paediatric admission data were assembled from 13 hospitals serving 17 communities between 1990 and 2007. Estimates of Plasmodium falciparum transmission intensity FG-4592 datasheet in these communities were assembled to be spatially and temporally congruent to the clinical admission data. The analysis focused on the relationships between community derived parasite prevalence and the age and clinical presentation of paediatric malaria in children aged 0 -9 years admitted to hospital.

Results: As transmission intensity declined a greater proportion of malaria admissions were in older children. There was a strong linear relationship between increasing transmission intensity and the proportion of paediatric malaria admissions that were infants (R(2) = 0.73, p < 0.001). Cerebral malaria was reported among 4% and severe malaria anaemia among 17% of all malaria admissions. At higher transmission intensity cerebral malaria was a less common

presentation compared to lower transmission sites. There was no obvious relationship between the proportions of children with severe malaria anaemia and transmission intensity.

Conclusion: find more As the intensity of malaria transmission declines in Africa through the scaling up of insecticide-treated nets and other vector control measures a focus of disease prevention among very young children becomes less appropriate. The understanding of the relationship between parasite exposure and patterns of disease risk should be used to adapt malaria control strategies in different epidemiological settings.”
“The protective effects of huperzine A on cholinergic dysfunction associated with acute hypobaric hypoxia were investigated in rats. Rats were exposed to simulated hypobaric hypoxia at 6,000 m in a specially fabricated animal decompression chamber while receiving huperzine A orally once per day at the dose of 0.1 mg/kg body weight.

001 for rats without substantial fibrosis vs rats with cirrhosis)

001 for rats without substantial fibrosis vs rats with cirrhosis). Mean D R2* (r = -0.773) and liver activation (r = -0.691) were inversely correlated with liver fibrosis (P<.001).

Conclusion: Carbogen gas-challenge MG-132 solubility dmso BOLD MR imaging can depict hepatic hemodynamic alterations during the progression of fibrosis and has the potential to serve as a noninvasive, nonenhanced imaging method for liver fibrosis diagnosis

and staging. (C) RSNA, 2010″
“Subband structure and depolarization shifts in an ultrahigh mobility GaAs/Al(0.24)Ga(0.76)As quantum well are studied using magnetoinfrared spectroscopy via resonant subband Landau level coupling. Resonant couplings between the first and up to the fourth subbands are identified by well-separated antilevel-crossing split resonance, while the hy-lying subbands were identified by the cyclotron resonance linewidth broadening in the literature. In addition, a forbidden intersubband transition (first to third) has been observed. INCB28060 With the precise determination of the subband structure, we find that the depolarization shift can be well described by the semiclassical slab plasma model and the possible origins for the forbidden transition are discussed. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3496516]“
“Purpose : To compare colonic cleansing

and fluid retention of double-dose magnesium citrate with those of single-dose sodium phosphate in patients undergoing computed tomographic (CT) colonography.

Materials and Methods: This retrospective HIPAA-compliant clinical study had institutional review board approval; informed consent was Selleck GW4869 waived. The study included 118 consecutive patients given single-dose sodium phosphate for bowel catharsis and 115 consecutive patients at risk for phosphate nephropathy, who were instead given double-dose

magnesium citrate. The bowel preparation regimen was otherwise identical. Four-point scales were used to assess residual stool and fluid in the six colonic segments, and attenuation of residual fluid was measured. An a priori power analysis was performed, and unpaired t tests with Welch correction were used to compare the two groups on stool and fluid scores and fluid attenuation.

Results: Both cathartic regimens offered excellent colon cleansing, with no significant difference for residual stool in any of the six segments. Stool scores of 1 or 2 (ie, no residual stool or residual stool, 5 mm) were recorded in 88.6% (627 of 708) of colonic segments in the sodium phosphate group and in 88.1% (608 of 690) in the magnesium citrate group. No clinically important differences were seen in residual fluid scores in any of the six segments, with the only significant difference seen in the sigmoid colon (2.17 for sodium phosphate vs 2.44 for magnesium citrate; P < 0.01). Fluid attenuation was significantly different between magnesium citrate and sodium phosphate groups (790 HU +/- 216 vs 978 HU +/- 160; P < .001).

We present a formal model for the effects of moral beliefs about

We present a formal model for the effects of moral beliefs about marriage and a population economic index on the decline of uxorilocal marriage. We integrate empirical marriage rates and an estimated economic index to produce five projections of the historical frequencies of one belief. These projections demonstrate how economic development may affect a cultural niche. They also indicate the need for future research on the relationship between wealth and cultural variability, the motivational force of cultural versus social factors, and the process of cultural niche construction.”
“Cone

calorimeter is one of the most useful bench-scale equipment which can simulate real-world fire conditions. Therefore, cone calorimeter tests have been the most important and widely used tests for research and development of fire behavior of polymeric MEK inhibitor cancer selleck materials. In this study, fire behavior of rigid polyurethane foams containing fly ash (up to 5 wt %) and

intumescent flame retardant (up to 5 wt %) composed of ammonium polyphosphate/pentaerythritol was investigated by using a cone calorimeter. In addition, thermogravimetric analysis of the additives and the foams were also carried out to explain the effects of fly ash and intumescent flame retardant on fire behavior of the foams. Experimental results indicated that rigid polyurethane foam containing fly ash and the intumescent flame retardant in comparison

with pure rigid polyurethane foam shows significantly enhanced fire resistance and thermal stability. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci, 2012″
“Introduction and objectives: Residual lipid risk has been defined as the excess of cardiovascular events observed in patients with adequate control of low-density lipoprotein cholesterol and has been mainly attributed Selleck SBE-β-CD to high-density lipoprotein cholesterol and triglycerides. The aim of our study was to describe the clinical features and the magnitude and characteristics associated with residual lipid risk in patients with a history of coronary revascularization.

Methods: Multicenter, observational, cross-sectional study of patients with a history of coronary revascularization. Residual lipid risk was defined as the presence of high-density lipoprotein cholesterol <40 mg/dL and/or triglycerides >150 mg/dL in patients with low-density lipoprotein cholesterol <100 mg/dL.

Results: We included 2292 patients with a mean age of 65.5 (12.4) years; 94.1% were receiving no statin therapy and 4.8% no lipid therapy. Statin-only therapy (74%) was the most common strategy, followed by combination with ezetimibe (17%). The prevalence of high-density lipoprotein cholesterol <40 mg/dL was 35.8%, hypertriglyceridemia 38.9%, and low-density lipoprotein cholesterol >100 mg/dL 44.9%; the residual lipid risk group included 29.9% of all patients.

Both compounds were also active on Leishmania spp The results ob

Both compounds were also active on Leishmania spp. The results obtained suggest that psilostachyin could be considered a potential lead molecule in the development of novel trypanocidal agents.”
“OBJECTIVE: this website To evaluate trends by race in Agency for Healthcare Research and Quality obstetric-related quality and safety indicators and their relationships to trends in inpatient maternal and neonatal mortality.

METHODS:

We used the Nationwide Inpatient Sample from 2000 through 2009 and calculated obstetric hospital quality and patient safety indicators and inpatient maternal and neonatal mortality stratified by race. We examined differences in age and comorbidity-adjusted trends in black compared with white women over time in the United States and by geographic region. Proportions were analyzed by chi(2) and trends by regression analysis.

RESULTS: Obstetric quality indicators varied by geographic region, but changes over time were consistent for both races. Cesarean deliveries increased similarly for black and white women, and vaginal births after cesarean delivery declined for both races but more rapidly for white women than for black women. Obstetric safety indicators improved over the study period for black and white women, with obstetric trauma decreasing

significantly for both groups (28% compared with 35%, respectively) and birth trauma-injury to neonates declining for both, but changes were not significant. In striking contrast, inpatient maternal and neonatal mortality remained relatively constant during the study period, with persistently higher rates of both seen among black compared with selleck inhibitor white women (12.0 compared with 4.6 per 100,000 deliveries, P<.001 and 6.6 compared with 2.5 per 1,000 births, P<.001, respectively, in 2009).

CONCLUSION: Improvements in Agency for Healthcare Research and Quality quality indicators for obstetrics are not reflected in improvements in maternal and neonatal morbidity and mortality and do not explain continued racial disparities

for outcomes in pregnancies in black and white women. Quality measures that are related to pregnancy outcomes are needed and these should elucidate obstetric health disparities.”
“OBJECTIVE: To determine the overtreatment rate at colposcopy in women who underwent a see-and-treat protocol.

METHODS: VX-680 supplier We identified 3,192 patients (mean age 36 years, standard deviation 8.7) who underwent a see-and-treat protocol in Radboud University Nijmegen Medical Center between January 1981 and December 2010. Overtreatment, defined as cervical intraepithelial neoplasia 1 or less at final histopathology analysis, was investigated in relation to the age of the women, time of referral, cervical smear result, colposcopic impression, and histopathology result.

RESULTS: A total of 579 women (18.1%, 95% confidence interval [CI] 16.7-19.5) were overtreated. The lowest overtreatment rate (4.5%, 95% CI 3.5-5.