Our results show that A taeniorhynchus feeds equally on mammals

Our results show that A. taeniorhynchus feeds equally on mammals and Selleck cancer metabolism inhibitor reptiles, and only one avian sample was observed in 190 successful PCR amplifications from blood meals. However, we detected endemic filarial worms and Haemoproteus parasites known to infect various Galapagos bird species in mosquito thoraces, suggesting that feeding on birds must occur at low frequency, and that A. taeniorhynchus may play a role in maintaining some avian vector-borne pathogens,

although more work is needed to explore this possibility. We also isolated three different DNA sequences corresponding to hemogregarine parasites of the genus Hepatozoon from mosquito and iguana blood samples, suggesting that more than one species of Hepatozoon parasites are present in Galapagos. Phylogenetic analysis of Hepatozoon 18sRNA sequences indicates that A. taeniorhynchus may have facilitated a recent breakdown in host-species

association of formerly Stem Cell Compound Library order isolated Hepatozoon spp. infecting the reptile populations in the Galapagos Islands. (C) 2012 Elsevier B.V. All rights reserved.”
“Alzheimer’s disease (AD) is a multifactorial syndrome involving a complex array of different, while related, factors in its progression. Accordingly, novel approaches that can simultaneously modulate several disease-related targets hold great promise for the effective treatment of AD. This review describes the development of novel hybrid molecules with multimodal activity, including: i) M30, the brain permeable selective monoamine oxidase (MAO)-A and -B inhibitor with chelating and neuroprotective activity; ii) HLA20, a brain permeable metal chelator with neuroprotective activity; iii) HLA20A, an acetylcholinesterase (AChE) inhibitor with site-activated chelating and neuroprotective SC79 activity; iv) M30D, an AChE and MAO-A and -B inhibitor with site-activated chelating and neuroprotective activity; and v) analogs of the neuroprotective aminoacid peptide, NAPVSIPQ. HLA20A and M30D act as pro-chelators and can be activated to liberate their

respective active chelators HLA20 and M30 through pseudo inhibition of AChE. We first discuss the knowledge and structure-based strategy for the rational design of these novel compounds. Then, we review our recent studies on these drug candidates, regarding their wide range in vitro and in vivo activities, with emphasis on antioxidant-chelating potency and AchE and MAO-A and -B inhibitory activity, as well as neuroprotective/neurorescue effects. Finally, we discuss the diverse molecular mechanisms of action of these compounds with relevance to AD, including modulation of amyloid-beta and amyloid-beta protein precursor expression/processing; induction of cell cycle arrest; inhibition of neuronal death markers; and upregulation of neurotrophic factors, as well as activation of protein kinase signaling pathways.”
“Background: As the U.S.

beta-catenin was absent from the hepatocytes of beta-catenin knoc

beta-catenin was absent from the hepatocytes of beta-catenin knockout mice 4 wk after delivery. From

9 mo of age, hepatocytes were gradually replaced by newly formed beta-catenin-positive hepatocytes, which constituted about 90% of hepatocytes at 18-20 mo of age. This process was accompanied by active proliferation of bile duct/ductule cells. beta-catenin-positive hepatocytes exhibited find more elevated proliferation activity and expression of progenitor cell markers, but lower albumin and Cre. This might explain their intact beta-catenin protein, and suggest their origins from hepatic progenitor cells. Liver tumors arose spontaneously from beta-catenin-positive cells, and tumorigenesis was accelerated by hepatitis B X protein.

These results indicate beta-catenin critical for the regeneration of mature hepatocytes. Failure to regenerate mature hepatocytes results in proliferation of hepatic progenitor cells that are able to maintain liver function but are predisposed to form liver tumors.”
“Background: Apolipoprotein E (apoE) and cholesterol play a critical role in synapse and myelin maintenance BGJ398 purchase and integrity and are thus appealing candidates in the pathogenesis of schizophrenia and bipolar disorder. To explore the role of these 2 molecules, we quantified cholesterol and apoE levels in prefrontal grey and white matter in patients with schizophrenia, bipolar disorder and healthy controls. Furthermore, we investigated the relations between

apoE and cholesterol levels and the APOE genotype. Methods: We obtained dorsolateral prefrontal grey and white matter from the Stanley Medical Research Institute Brain Collection (schizophrenia n = 35, bipolar GSI-IX inhibitor disorder n = 35 and controls n = 35). Cholesterol levels were quantified using high-pressure liquid chromatography, whereas apoE was measured by enzyme-linked immunosorbent assay. Results: We found no significant differences in cholesterol or apoE levels among the groups. ApoE levels were higher in grey matter than in white matter in all groups; conversely, levels of cholesterol were higher in white matter than in grey matter. We observed a significant inverse correlation between apoE and cholesterol levels in both grey and white matter. Furthermore, in grey matter, apoE levels were significantly higher in APOE epsilon 2 carriers compared with APOE epsilon 3 or APOE epsilon 4 carriers, with cholesterol levels following the opposite trend. Limitations: Limitations of our study include our inability to control for potential confounding variables and the small numbers of APOE epsilon 2 and epsilon 4 carriers in each group. Conclusion: Although large amounts of cholesterol are present in white matter, apoE expression is limited. The APOE genotype may play a role in the regulation of both cholesterol and apoE levels in grey matter. The impact of APOE polymorphisms on lipid homeostasis in people with psychiatric disorders warrants further investigation.

In modern barley cultivars, two recessive eIF4E alleles, rym4 and

In modern barley cultivars, two recessive eIF4E alleles, rym4 and rym5, confer different isolate-specific resistances. In this study, the sequence of eIF4E was analysed in 1090 barley landraces and noncurrent cultivars originating from 84 countries. see more An exceptionally high nucleotide diversity was evident in the coding sequence of eIF4E but not in either the adjacent MCT-1 gene or the sequence-related eIF(iso)4E gene situated on chromosome 1H. Surprisingly, all nucleotide polymorphisms detected in the coding sequence of eIF4E resulted in amino acid changes. A total of 47 eIF4E haplotypes were identified, and phylogenetic analysis

using maximum likelihood provided evidence of strong positive selection acting on this barley gene. The majority of eIF4E haplotypes were found to be specific to distinct geographic regions. Furthermore, the eI4FE haplotype VE-821 datasheet diversity (uh) was found to be considerably higher in East Asia, whereas SNP genotyping identified a comparatively low degree of genome-wide genetic diversity in 16 of 17 tested

accessions (each carrying a different eIF4E haplotype) from this same region. In addition, selection statistic calculations using coalescent simulations showed evidence of non-neutral variation for eIF4E in several geographic regions, including East Asia, the region with a long history of the bymovirus-induced yellow mosaic disease. Together these findings suggest that eIF4E may play a role in barley adaptation to local habitats.”
“Hepatitis B virus (HBV) infection is a major public health problem by affecting 350 million people worldwide. The mechanisms that regulate HBV gene expression and viral replication remain poorly understood. HBx is known as the central regulator for HBV replication and is associated with the CUL4-DDB1 ubiquitin ligase through H-box motif. Here, we show that blocking the activity of DDB1 by RNA interfering inhibited viral production and gene expression of HBV, and direct association of HBx with DDB1 promoted viral activities, indicating

that DDB1 function is required for viral production. On the other hand, HBx interfered with DDB1-dependent polyubiquitination CH5183284 solubility dmso of PRMT1, arginine methyltransferase 1, suggesting that HBx can also block the function of a subset of CUL4-DDB1 E3 ligases. Thus, we conclude that HBx regulates the function of DDB1 in both positive and negative manners in the context of distinct CUL4-DDB1 complexes and plays different roles in HBV replication cycle. (C) 2014 Elsevier Inc. All rights reserved.”
“Objectives: To develop a reproducible animal model mimicking a novel 2-staged hepatectomy (ALPPS: Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy) and explore the underlying mechanisms.

5% female, mean BMI 59 9 kg/m(2); 97% of eligible, consecutive pa

5% female, mean BMI 59.9 kg/m(2); 97% of eligible, consecutive patients) completed the Impact of Weight on Quality of Life-Kids, Pediatric Quality of Life Inventory, Beck Depression Inventory, Self-Perception Profile

for Adolescents, and height and weight measurements at baseline and 6, 12, 18, and 24 months after RYGB. A total of 75% participated at all follow-up points.\n\nResults: Before RYGB, global psychosocial impairments were documented. Hierarchical linear modeling was used to examine the growth trajectories. Several quadratic (nonlinear) trends were revealed. c-Met inhibitor A substantial reduction in weight and depressive symptoms, as well as improved HRQOL and self-concept were identified across the first postoperative year, followed by decelerations in year 2, including weight regain (P < .0001) and slight increases in

depressive symptoms (P = .004) and decreases in HRQOL (Social, P = .002; Body Esteem, P = .0007; Physical Comfort, P SRT2104 mouse < .0001; and Total, P < .0001), and self-concept (Social, P = .02; Appearance, P = .002; and Close Friendship, P = .008).\n\nConclusion: During the first 24 months after RYGB, preliminary evidence suggests adolescents experience significant weight loss as well as psychosocial and HRQOL improvements. A deceleration in these gains occurred in the second postoperative year. Longer term follow-up with larger samples is critical to determine the weight and psychosocial trajectories, and what role psychosocial status plays in adolescents’ weight change

and maintenance. (Surg Obes Relat Dis 2011;7:727-732.) (C) 2011 American Society for Metabolic and Bariatric Surgery. All rights reserved.”
“Mesquite (Prosopis species) were introduced to South Africa to provide fodder and shade for livestock, but some have become invasive, impacting on water and grazing resources. Mesquite’s net economic effects are unclear and their unequal buy INCB024360 distribution leads to conflict. We estimated the value of mesquite invasions in the Northern Cape Province for different scenarios, differentiating between productive floodplains and upland areas. The estimated net economic value of mesquite in 2009, covering 1.47 million ha, was US$3.5-15.3 million. The value will become negative within 4-22 years, assuming annual rates of spread of 30 and 15%, respectively. The estimated 30-year present value (3% discount rate) of the benefits of control in the floodplains exceeded that of costs but the opposite was true in the uplands. Control efforts should therefore focus on floodplains while preventing spread from uplands into cleared or uninvaded floodplains. More efficient control methods are needed as estimated control costs (>US$9.5 million yr(-1)) exceed financial capabilities of Public Works programmes. Control in the floodplains was not economically justifiable using an 8% discount rate, because this substantially discounted future costs.

METHODS RRN was compared to manual ablation in a randomized contr

METHODS RRN was compared to manual ablation in a randomized control trial setting by using an intention-to-treat analysis. RESULTS A total of 157 patients underwent ablation (116/157 (74%)

persistent AF; 67/116 (58%) of these long-standing persistent AF). There were no significant differences between the RRN and manual groups with respect to 1-year single-procedure success rates (19/78 (24 /e) and 26/78 (33 /a), respectively; CFTRinh-172 in vivo P =.29), acute wide area circumferential ablation reconnection rates, complication rates, or procedure times. On multivariable analysis, fluoroscopy times were significantly shorter in the RRN group. The number of catheter displacements during ablation was lower in the RRN group, as was subjectively assessed operator fatigue. The crossover rate from RRN to manual ablation was 11/78 (14%), mainly secondary to technical problems with the RRN system. A Learning curve was evident for RRN ablation: the fluoroscopy and procedure times were significantly lower after the first 10 cases in an operator’s experience. CONCLUSION This randomized trial showed no difference in the success rate for catheter ablation of AF between a RRN and manual approach. The results highlight the learning curve

for RRN ablation and suggest that the use of this technology leads to an improvement in fluoroscopy times, catheter stability, and operator fatigue.”
“A new strategy to evaluate accessibility of antioxidants to radical proteins IPI-145 datasheet has been developed using nitroxide prefluorescent probes anchored into human serum albumin (HSA). Binding association constants for the nitroxide probes C(343)T and QT with HSA were 5 x 10(4) and 9 x 10(4) M(-1), respectively. Rate constants for the nitroxide reduction by antioxidants in HSA were determined finding k(HSA)/k(buffer) ratio of 0.8, 1.9, and 0.075 for Quizartinib solubility dmso ascorbic acid, Trolox, and caffeic acid, respectively, for the nitroxide C(343)T reduction. (C) 2009 Elsevier Ltd. All rights reserved.”
“Background: The value of antibiotics in the treatment of acute uncomplicated left-sided diverticulitis is not well established. The aim of this review was to assess whether or

not antibiotics contribute to the (uneventful) recovery from acute uncomplicated left-sided diverticulitis, and which types of antibiotic and route of administration are most effective.\n\nMethods: Medline, the Cochrane Library and Embase databases were searched. Randomized controlled trials (RCTs), prospective or retrospective cohort studies addressing conservative treatment of mild uncomplicated left-sided diverticulitis and use of antibiotics were included.\n\nResults: No randomized or prospective studies were found on the topic of effect on outcome. One retrospective cohort study was retrieved that compared a group treated with antibiotics with observation alone. This study showed no difference in success rate between groups.

Furthermore, cholesterol blood levels are also associated with hy

Furthermore, cholesterol blood levels are also associated with hypertension, although the underlying mechanism is not known. Here we analyze the relationship between blood total cholesterol levels and serum vasopressin- degrading cystyl-aminopeptidase activity (AVP-DA)

in healthy humans, and the differences Alvespimycin purchase between men and women. Linear correlation coefficients were calculated to test relationships between AVP-DA and blood total cholesterol levels. Sex differences were observed for AVP-DA, being this activity higher in men than in women. According to the linear model of the regression analysis, AVP-DA showed a significant negative correlation with blood total cholesterol levels in men, whereas no correlation Bcr-Abl inhibitor was observed in women. Several studies in humans demonstrate the existence of greater plasma AVP concentrations

in normal men compared to normal women, which could explain the gender-differences observed in the present work in relation with AVP-DA. However, AVP-DA is related to blood cholesterol levels only in men, although in our hands, women showed higher blood cholesterol levels than men. This could indicate that the risk of high cholesterol-related hypertension is more probable in men than in women. Although AVP-DA misregulation could be involved in the pathogenesis of hypertension, its relation with cholesterol levels appears only in men, but not in women.”
“BACKGROUND: Nitrate leaching and the resulting groundwater contamination from intensive cereal production has become a major concern for long-term farmland efficiency and environmental sustainability in northern China. The aim of this study was to evaluate a water-saving super-absorbent polymer (SAP) for minimising NO(3)(-) leaching from soil and optimising corn growth and yield. Thirty-six undisturbed soil lysimeters were installed in a field lysimeter facility in drought-affected northern

buy Doramapimod China to study the growth and yield characteristics of summer corn (Zea mays L.) as well as the amount of NO(3)-leaching losses under different fertiliser (standard, medium or 75% and low, or 50% of conventional fertilisation rate) and SAP (control, 0; level-1, 15 kg ha(-1) and level-2, 30 kg ha(-1)) treatments.\n\nRESULTS: Corn yield fell by 19.7% under medium and 37.7% under low fertilisation; the application of SAP increased yield significantly by 44.4% on level-1 and 80.3% on level-2. Similarly, plant height, leaf area, number of grains as well as protein, soluble sugar and starch contents in the grain also increased with SAP treatment. Application of SAP at 30 kg ha(-1) plus half of conventional fertilisation can reduce maximum (64.1%) nitrate leaching losses from soil.

Contrastingly, in brain tissue XXY* males expressed all four gene

Contrastingly, in brain tissue XXY* males expressed all four genes higher than male and female controls.\n\nConclusion:\n\nAltered expression of genes escaping X inactivation probably contributes directly to the XXY* phenotype.”
“Background: Structural and inflammatory changes in asthma involve both the large and small airways, with involvement of the distal lung being related to disease severity. We have previously shown that changes in the extracellular matrix (ECM) composition of the distal

lung are associated with loss of alveolar attachments in patients with fatal asthma. However, major ECM elements, such as collagen I and fibronectin and their regulators, have not been addressed at the distal level.\n\nObjective: We sought to evaluate ECM remodeling in the distal lungs of asthmatic patients.\n\nMethods: Using immunohistochemistry and image analysis, we determined the content of collagen I and III, fibronectin, and matrix LB-100 metalloproteinases; (MMPs) 1, 2, and 9 and tissue inhibitors of metalloproteinase (MMPs) 1 and 2 in the large and small airways and lung parenchyma of 24

patients with fatal asthma and compared the results with those of 11 nonasthmatic control subjects. Protein content was defined as the area of positive staining divided by basement membrane or septum length.\n\nResults: We observed increased collagen I and decreased collagen III content in the small airways of asthmatic PARP activation patients compared with that seen in control subjects. Greater fibronectin and MMP-1, MMP-2, and MMP-9 content was observed at the outer area of the small airways in asthmatic patients. NIMP content was also increased in the peribronchiolar parenchyma in asthmatic patients. In contrast, TIMP expression was only increased in the large airways of asthmatic patients compared with that seen in control subjects.\n\nConclusions: The outer area of the small airways is a major site of ECM remodeling in fatal asthma, potentially contributing to functional changes and the loss of airway-parenchyma

interdependence observed in patients with fatal asthma. (J Allergy Clin Immunol 2009;123:1090-7.)”
“von Willebrand factor (VWF) levels are elevated and a disintegrin-like and metalloprotease with thrombospondin type MK-2206 in vivo I repeats-13 (ADAMTS13) activity is decreased in both acute and chronic inflammation. We hypothesized that by cleaving hyperactive ultralarge VWF (ULVWF) multimers, ADAMTS13 down-regulates both thrombosis and inflammation. Using intravital microscopy, we show that ADAMTS13 deficiency results in increased leukocyte rolling on unstimulated veins and increased leukocyte adhesion in inflamed veins. Both processes were dependent on the presence of VWF. Depletion of platelets in Adamts13(-/-) mice reduced leukocyte rolling, suggesting that platelet interaction with ULVWF contributes to this process.

0001) Fourteen authors published the majority (70/124) of positi

0001). Fourteen authors published the majority (70/124) of positive reviews, and ten of these 14 had or have since developed a pCOI with various manufacturers of HES.\n\nLow-quality HES reviews reached different conclusions than high-quality meta-analyses from independent entities,

such as Cochrane Reviews. The majority of these BEZ235 PI3K/Akt/mTOR inhibitor low-quality positive HES reviews were written by a small group of authors, most of whom had or have since established ties to industry. The proliferation of positive HES reviews has been associated with increased utilization of an expensive therapy despite the lack of evidence for meaningful clinical benefit and increased risks. Clinicians need to be more informed that marketing efforts are potentially PF-03084014 Neuronal Signaling inhibitor influencing scientific literature.”
“Objective. To assess the pathologic characteristics and prognostic significance of periprostatic lymph node (LN) metastasis of prostate cancer. The latter was performed by comparing biochemical recurrence (BCR)-free survival in cases of periprostatic LN metastasis versus matched patients showing pelvic LN metastasis. Methods and Materials. We identified 15 patients who underwent radical prostatectomy in our institution (1984-2011) showing positive periprostatic and negative pelvic LN with available follow-up information (group 1). These patients were matched 1:2 to patients with positive pelvic LN (group 2) for pertinent clinicopathologic parameters.

Results. Main locations of positive periprostatic LN were posterior base and mid posterolateral. Overall higher rate of positive margins,

smaller LN, and metastasis size were encountered in group 1 compared with group 2. At 5 years postprostatectomy, 69% of patients in group 1 were free of BCR, whereas 26% of those in group 2 remained BCR free, suggesting that patients with periprostatic Bafilomycin A1 cell line node metastasis appeared to have a lower risk of BCR. However, the difference was not statistically significant (P = .072). The same was true when adjusted for the effect of prostate-specific antigen, surgical margin status, size of LNs, size of metastasis, age, and year of surgery. Conclusion. Patients with periprostatic node metastasis may have a lower risk of BCR compared with those with metastasis to pelvic LN. Future analysis of larger cohorts will help establish the biologic significance of prostate cancer metastasis to periprostatic LN.”
“Naphthopyran polymer conjugates of various rigidities were synthesized by atom transfer radical polymerization (ATRP), and their photochromic properties were tested within a rigid host matrix. Broad tuning of photochromic kinetics was displayed as a result of polymer conjugation because of its ability to alter the local environment of the naphthopyran within the host. End-functionalized conjugates, synthesized from a naphthopyran-functionalized ATRP initiator, allowed systematic tuning of kinetics via modulation of chain length of attached polymer.

Our goal was to investigate how this innovative aspect of the CFL

Our goal was to investigate how this innovative aspect of the CFLRP is proceeding in the early years of the program and to set the stage for longitudinal research an this aspect of the CUP. We conducted and systematically analyzed semistructured interviews with 45 participants, including federal and nonfederal partners, from the first 10 CFLRP projects. We found that monitoring programs are being designed for a variety of purposes, such as tracking ecological impacts, maintaining

trust with stakeholders, supporting “adaptive” planning documents meant to cover multiple years of treatment, and “telling the story” of these projects in terms of social and economic impacts to communities. Governance structures include formal roles and responsibilities for participants but lack formal processes for incorporating monitoring data into long-term project planning. Major challenges relate BI 6727 to the timing requirements of the CFLRP legislation,

a lack of capacity among all parties in terms of time and expertise, navigation of the distinction between research and monitoring, and the design of adaptive planning documents to cover activities for multiple years over large landscapes.”
“Cochliobolus heterostrophus Vel2 and Vos1, members of the velvet family of proteins, play crucial roles in sexual and asexual development as reflected by deletion mutant and overexpression strain phenotypes. vel2 and vos1vel2 OSI-744 solubility dmso mutants are female sterile. Pseudothecia from vel2 or vos1 mutant crosses to an albino wild-type tester strain produce asci, however no full tetrads are found in these crosses, in contrast to crosses between wild-type strains which typically yield asci with

a full complement of ascospores. In addition, none of the progeny from crosses of vel2 or vos1 mutants to wild-type mating testers is mutant, thus vos1 and vel2 ascospores are unable to survive meiosis. vos1vel2 double mutants are also female sterile like vel2 single mutants, however, asci in pseudothecia formed in crosses to wild-type testers are devoid of ascospores. Vel2 and Vos1 negatively regulate production of asexual spores, but positively regulate their morphology. vel2 NU7441 and vos1 single mutant conidia vary in size, in septum number, septum position in the spore, and in germination rate, and are more sensitive to oxidative and thermal stresses compared to wild-type conidia. Trehalose amounts are decreased in single mutants, supporting previous findings that this disaccharide is required for conidium health. (C) 2014 Elsevier Inc. All rights reserved.”
“Background: The aim of this prospective study is to evaluate the prevalence of mucositis, peri-implantitis, implant success, and survival in partially edentulous patients treated for generalized aggressive periodontitis (GAgP) and in periodontally healthy individuals.\n\nMethods: Thirty-five patients treated for GAgP and 18 periodontally healthy patients orally rehabilitated with osseointegrated implants participated in the study.

BRAF mutations occur along with greater shortening in HSP110T(17)

BRAF mutations occur along with greater shortening in HSP110T(17) during oncogenesis via the MSI pathway.”
“Excessive CP-456773 nmr production of nitric oxide (NO) generated by inducible nitric oxide synthase (iNOS) has been implicated in the pathogenesis of numerous inflammatory processes. The exact pathogenesis of denture-induced fibrous inflammatory hyperplasia (DIFIH) remains unclear The aim of this study was to assess iNOS expression in healthy oral mucosa (HOM) and DIFIH by immunohistochemical (IHC) method The expression of iNOS protein in HOM has been reported in numerous publications: particularly these tissues were

used as a control group. However there are some conflicting results whether healthy oral tissues express Selleckchem PRIMA-1MET iNOS. In this study performing IHC method, DIFIH (n = 26) and HOM (n = 28) in formalin-fixed, paraffin-embedded sections were evaluated in terms of iNOS expression. The statistical analysis showed that there were

no significant differences between DIFIH and HOM regarding iNOS immunoreactivity (p>0.05). The results in this study indicate that iNOS does not have a determining role in pathogenesis of DIFIH. The constitutive iNOS expression in HOM under physiological conditions needs to be further evaluated”
“Background: Ten to fifteen percent of knee arthritis is reported to be isolated patellofemoral arthritis. Total knee arthroplasty is not recommended for isolated patella femoral arthritis particularly in young patients. We present the retrospective review of 45 consecutive patellofemoral replacements performed in 41 such patients, between June 2002 and January 2007.\n\nMaterials and Methods: All patients were operated by single surgeon (SM) or under his supervision. All forty five patients had minimum three year followup and had the data collected prospectively. No patient was lost to followup. This data was later collated by review of notes, radiographs, and a clinical followup. The patients were assessed using knee function score buy EPZ-6438 and Melbourne patellofemoral score.\n\nResults:

The average followup was 4.5 years. The preoperative average Melbourne (Bartlett) score was 10 (range 5-21). Preoperative knee functional score averaged 57 (range 23-95). The average range of movement was 116 degrees (range 100 degrees-140 degrees). Postoperatively, the average Melbourne knee score improved to 25 (range 11-30), while the knee function score was 85 (range 28 – 100). The difference was statistically significant (P<0.05). Eighty-five percent rated the result as good or excellent, while 12% rated it as fair. Five percent thought the result was poor. The most common complaint was clicking at 40 degrees of flexion (n=7). Six patients underwent arthroscopic lateral release, which improved the symptoms in four patients. Two knees were revised one due to progression of tibiofemoral arthritis and the other due to persistent clicking, yielding a survival rate of 95.