Polystyrene plates with 24 wells were used Potato cubes were sur

Polystyrene plates with 24 wells were used. Potato cubes were surface-contaminated with several protoxin and toxin concentrations (60, 125, 250, 500 and 1000 ng cm–2) diluted in sodium carbonate. Cubes were distributed in plate wells and each infested with one T. solanivora first instar larvae. Plates were sealed and incubated into a 18 °C, 60 ± 5% relative humidity and 12 : 12 h light : dark photoperiod room. Per treatment, 72 larvae ALK inhibitor were used; mortality was recorded after 7 days. The concentration causing 50% mortality (LC50) and its 95% fiducial limits were determined by Probit analysis of results from three independent

experiments with the polo-pc program (Russel et al., 1977). Cry1Ac was used as a positive control at the same doses; water and sodium carbonate were negative controls (5% nonspecific mortality). Cry1Ba trypsin-activated and Cry1I protoxin and activated toxin were biologically evaluated as well (72 larvae per treatment) (Table 1). CBB rearing was obtained from affected coffee crops (no chemical insecticides were been used) in Nariño (Colombia). SN1917 were tested against CBB first instar larvae using IBUN diet (López-Pazos et al., 2009) in a range

of 1000–10 000 ng cm–2. Cry1Ba and Cry1I (protoxin and toxin) were used as controls; water alone and sodium carbonate were used as negative controls (6% background mortality). In bioassays, 72 larvae per treatment were used and mortality recorded after 7 days. The average percentages of mortality were determined

from the results of three independent experiments. SN1917 hybrid was constructed through replacement of a cry1Ia domain II section Dasatinib concentration from pSN19 with Janus kinase (JAK) the corresponding fragment of cry1Ba from pSN17 (Fig. 1). Expression analysis of transformants confirmed that most of them represented a successful swapping event in the specific area to produce the soluble protoxin (130 kDa) selected for toxicity studies (Fig. 2). The purified SN1917 protoxin showed a higher activity against T. solanivora first instar larvae in comparison with recombinant Cry1Ac protoxin (Table 1). Trypsin treatment of Cry1Ac and SN1917 hybrid protoxins resulted in the production of a stable product of approximately 65 kDa (Fig. 2). Hybrid SN1917 toxin was more toxic than Cry1Ac-activated protein (Table 1). When the size differences are taken into consideration, SN1917 protoxin is potentially 1.95 times more toxic than wild-type Cry1Ac, and SN1917-activated hybrid protein is 1.73 times more active than Cry1Ac toxin on a per-mole basis (Table 1). Cry1Ba toxin caused 60% of mortality at a 500 ng cm–2 dosage. Cry1I protoxin and Cry1I toxin produced 42% and 52% of mortality, respectively (1000 ng cm–2) (Table 1). In spite of the use of a high dose of 10 000 ng cm–2, SN1917 did not show significant toxicity against CBB (mortality percentage <10% for protoxin and activated toxin). Even higher doses (20 000 and 30 000 ng cm–2) were not toxic for CBB.

In addition, NO scavenging inhibited light-induced expression of

In addition, NO scavenging inhibited light-induced expression of PERIOD1 protein at circadian time 18 (i.e.

the time for light-induced phase advances). These findings demonstrate the role of extracellular NO communication within the SCN in the steady-state synchronization to LD cycles. “
“The observation of an action modulates motor cortical outputs in specific ways, in part through mediation of the mirror neuron system. Sometimes we infer a meaning to an observed action based on integration of the actual percept with memories. Here, we conducted a series of experiments in healthy adults to investigate whether such inferred meanings can also modulate motor cortical outputs in specific ways. We show that brief observation of a neutral stimulus mimicking a hand does not significantly modulate motor cortical excitability (Study 1) although, after prolonged exposure, it can lead to a relatively nonspecific modulation selleckchem check details (Study

2). However, when such a neutral stimulus is preceded by exposure to a hand stimulus, the latter appears to serve as a prime, perhaps enabling meaning to the neutral stimulus, which then modulates motor cortical excitability in accordance with mirror neuron-driving properties (Studies 2 and 3). Overall results suggest that a symbolic value ascribed to an otherwise neutral stimulus can modulate motor cortical outputs, revealing the influence of top-down inputs on the mirror neuron system. These findings indicate a novel aspect of the human mirror neuron system: an otherwise neutral stimulus can ZD1839 acquire specific mirror neuron-driving properties in the absence of a direct association between motor practice and perception. This significant malleability in the way that the mirror neuron system can code otherwise meaningless (i.e. arbitrarily associated) stimuli may contribute to coding communicative signals such as language. This may represent a mirror neuron system feature that is unique to humans. “
“A recent clinical study demonstrated that damage to the insular cortex can disrupt tobacco addiction. The neurobiological mechanisms for this effect are not yet understood. In this study we used

an animal model of nicotine addiction to examine the possibility that changes in insular cortex levels of dopamine (DA)- and cAMP-regulated phosphoprotein of 32 kDa (DARPP-32), a phosphoprotein enriched in DA neurons containing DA D1 receptors, may be associated with changes in vulnerability to nicotine addiction. Once rats acquired self-administration, they were given unlimited access to nicotine (0.01 mg/kg/infusion) for 23 h/day for a total of 10 days. Each infusion was paired with a visual cue (stimulus light) and auditory cue (sound of pump). Nicotine seeking, as assessed under a cue-induced reinstatement paradigm, and markers of DARPP-32 signaling, as assessed using western blot analysis, were examined in separate groups of rats at two different abstinent intervals: 1 and 7 days.

SopA is expressed mainly at the early stages of infection These

SopA is expressed mainly at the early stages of infection. These results are consistent with data reported earlier (Drecktrah et al., 2005; Giacomodonato

et al., 2007; Patel et al., 2009) and indicate that the expression of SopB can be induced and maintained in vivo under environmental conditions different to those found in the intestinal milieu. In agreement, our in vitro experiments INCB018424 supplier showed that SopB can be expressed and secreted in growth conditions that resemble early and late intracellular niches (Fig. 1). Concurrently, we investigated the in vivo translocation of SopB in the cytosol of infected cells isolated from MLN during murine Salmonella infection. Gentamicin experiments revealed that 80% of bacteria recovered from MLN were intracellular. This result was confirmed by electron microscopy (data not shown). As shown in Fig. 3b (lane 2), HSP inhibitor translocation of SopB in infected cells recovered from MLN was evident for at least 24 h after animal infection coincident with the peak of expression (Fig. 3a). At later time points we were not able to detect SopB in the cytosol of infected cells. On the other hand, although SopA is expressed at day 1 (Fig. 3a, lane 1), it could not be detected in the eukaryotic cytosol of infected cells (Fig. 3b,

lane 6). Again, we observed that the dual effector SopD is translocated during the first 24 h after inoculation (Fig. 3b, lane 4). To the best of our knowledge, this is the first time that the translocation of Salmonella SPI-1 effector proteins has been assessed in vivo. Altogether, our results are consistent with those reported earlier showing that sopB continues to be transcribed and translated in vitro for many hours after bacterial internalization (Knodler et al., 2009). Our work acknowledges the significance of analyzing protein expression

and Tangeritin translocation, in vivo, in the context of bacteria–host interactions. For instance, attenuated Salmonella carrier vaccines have the potential to be used as delivery systems for foreign antigens from pathogens of viral, bacterial and parasitic origin (Everest et al., 1995). In this regard, Panthel et al. (2005) proposed SPI-1 and SPI-2 type III effector proteins as carrier molecules for heterologous antigens. Taking into account our results, SopB appears as an attractive carrier, potentially able to translocate heterologous antigens at different time points of the Salmonella infection cycle. Moreover, Nagarajan et al. (2009) have recently highlighted the importance of understanding the time and the compartment in which expression of SPI-1 and SPI-2 proteins occurs in selecting vaccine candidates; the authors proposed Salmonella Typhimurium sopB as a potential DNA vaccine.

We used a mixed design for data collection in which qualitative

We used a mixed design for data collection in which qualitative

semi-structured interviews served as an explanatory support for quantitative data, as described by Creswell & Plano Clark [30]. Qualitative data were collected by trained facilitators after the quantitative data collection, using semi-structured individual interviews Selumetinib chemical structure and focus groups, to fine-tune factors related to VCT acceptability and its consequences. For the first objective of assessing VCT acceptability, 21 individual interviews and 12 focus groups were carried out in a subsample of women who had undergone VCT in our study (55 FSWs) and in a sample of FSWs who had never attended the AHS, including during the quantitative data collection period, and to whom VCT had not therefore been proposed (37 FSWs). These individuals were identified with the assistance of FSW community leaders by targeting bars and other known sex work sites

that had not been represented in the quantitative interview sample. For the second objective of identifying the consequences of VCT, three individual semi-structured interviews were conducted 1 year later to investigate the negative events reported during the quantitative data collection. Qualitative click here interviews were mostly conducted in worksites but also at participants’ homes upon their request (for one focus group at baseline and for two individual interviews at follow-up). Anti-HIV-1 and -2 antibodies were detected using two rapid tests as recommended by standard national procedures [31]. When the first test (Determine®; Abbott, Wiesbaden, Germany) was negative, the result was reported as negative. If it was positive, a second test (Bioline®; Standard Diagnoses, Yongin-Si, South Korea) was used to confirm the result. If the second test was also positive, Fludarabine datasheet the result was reported as positive. When there was discordance between

the first and the second tests, a third test (Western blot) was used to make a decision. If there were two negative results with one positive result, the subject was advised to repeat the test 3 months later. Quantitative data were collected using questionnaires in French that included both open and closed questions translated into national languages (Susu, Pular and Malinke). Two questionnaires were administered, the first (110 items) at recruitment and the second (141 items) 1 year later. They were derived from a validated questionnaire previously used by the Projet SIDA3 in several West African countries for second-generation surveillance among FSWs.

As much as 100 µL of inocula were streaked onto tryptic soy agar

As much as 100 µL of inocula were streaked onto tryptic soy agar (TSA) agar plates and incubated for 24 hours. Results. The initial average pH of the fish was 6.4 prior to adding cebiche ingredients and 5.0 immediately afterwards. The pH at 10- and 30-minute periods was 5.4 and 5.2, respectively. Little reduction in bacterial counts was observed CYC202 in vitro at either the 10- or 30-minute time periods, with counts increasing at 30 minutes. Conclusions. The putative bactericidal role of lime juice in the preparation process

is not sufficient to reduce the microbial population present in cebiche. Pathogens may remain viable after exposure to acidic conditions. The increasing popularity of Peruvian cuisine may also lead to cebiche-associated illness outside of Latin

America. Cebiche is a common seafood dish in Latin America, prepared using raw fish mixed with vegetables and marinated together with citrus juice, commonly from limes. It is commonly believed that the acidity of lime juice effectively sterilizes any microbial contamination, since it has the capacity to change both the color and texture of the fish, making it appear slightly “cooked.” A previous study in Costa Rica demonstrated significant reductions in Vibrio cholerae contamination Anti-infection Compound Library chemical structure using a Costa Rican cebiche recipe.1 Conversely, a 1994 study in Mexico showed that Salmonella spp. were isolated in 35/221 (15.8%) of 221 cebiche samples analyzed.2 There is little available information in Peru about the current rates of acute illnesses related to the consumption of cebiche, despite the large number of persons who consume it annually. No surveillance studies Sitaxentan concerning food-borne pathogens in cebiche have been performed

in Peru. This is of potential public health importance for a number of reasons, as cebiche is a commonly consumed national dish, eaten not only by Peruvians but also by tourists. Hence, it may be a common source of diarrhea among visitors as well as local residents. Food-borne illness is an important cause of morbidity and mortality worldwide, especially in developing countries where food safety measures and hygiene practices may be less emphasized or inadequate.3,4 Given the scale and complexity of the food supply, it is difficult to ensure that all food is kept free from potential sources of contamination. Despite recent advances in the methods to eliminate pathogens from food items, food-borne diseases remain a major cause of illness worldwide. A total of 17,883 laboratory-confirmed cases of food-borne-related infections were reported during the year 2007 in the United States according to available data obtained from the Foodborne Diseases Active Surveillance Network (FoodNet) of the Centers for Disease Control and Prevention.

We identified over 70 personal, socioeconomic, treatment-related

We identified over 70 personal, socioeconomic, treatment-related and disease-related characteristics within the HIV Futures 6 data set that were likely to be associated with treatment adherence and/or difficulty taking ART. A full list of the potential explanatory variables included in this analysis is provided in Figure 1. Most continuous exposure variables were categorized for inclusion in our analysis. Categorization

was based on the distribution of the specific variable and/or logical categories for the variable. The respondent’s most recent CD4 cell count was categorized based on whether the respondent had moderate to severe immune system damage (CD4 count <500 cells/μL) or little immune system damage (CD4 count ≥500 cells/μL). The ‘timing of HIV diagnosis’ variable was categorized according to the ART period at the time at which the respondent this website was diagnosed (1983–1988, pre-ART period; 1989–1995, early ART/monotherapy beta-catenin inhibitor period, and 1996 onwards, post-cART period), as previously defined by Rawstorne

et al. [31]. The ‘period of commencing ART’ variable was categorized in a similar manner (prior to 1996, pre-cART era; 1996–2003, early cART era; 2004–2009, late cART era). Our data set contained a number of attitude variables which captured respondents’ views about ART/cART and the impact HIV infection had on respondents’ health, physical appearance, health management strategies, relationships and sex life. These variables were scored on Likert scales (1=strongly disagree, 2=disagree, 3=agree, and 4=strongly agree). To reduce the total number of attitude variables included in our analysis, we conducted principal components analysis with oblique rotation to identify appropriate attitude scales that could be included Paclitaxel price in our analysis. Mean scores were computed

for each scale when responses had been given for at least two-thirds of the variables in the scale. Where a suitable scale could not be identified, attitude variables were analysed as separate variables. Bivariate associations between the potential explanatory variables and our dichotomous outcome variable were assessed using the χ2-test or Fisher’s exact test for categorical exposure variables and the t test for continuous exposure variables (mean scale scores for attitude scales). Variables that showed a significant association at the level of α=0.2 in bivariate analyses were included in multivariable analyses. The multivariable analysis consisted of a two-step logistic regression modelling procedure based on backwards stepwise logistic regression using the likelihood ratio statistic. At step 1, we computed four separate logistic regression models including factors that were expected to exhibit a high degree of collinearity, using α=0.1 as the exit criterion. Variables that remained significant at α=0.1 during step 1 modelling were entered into a single step 2 model where α=0.05 was set as the exit criterion.

, 2010; Salim & Soderholm, 2011) Specialised sampling sites

, 2010; Salim & Soderholm, 2011). Specialised sampling sites Natural Product Library clinical trial found along the length of the intestinal tract, such as the M cells of the follicle-associated epithelium (FAE) found overlaying the intestinal Peyer’s patches, facilitate the delivery of foreign material across the intestine via

active transport. The M cell transport system appears to be the key to the pathogenesis of certain bacterial and viral diseases (Neutra et al., 1996; Siebers & Finlay, 1996). To study the M cell phenotype in vitro, three Caco-2:B lymphocyte co-culture models have been developed with slightly different constructions (Kerneis et al., 1997; Gullberg et al., 2000; des Rieux et al., 2007). The Caco-2/Raji B construct of Gullberg et al., with some modifications, was utilised in this study to investigate the transport of V. parahaemolyticus across the intestinal epithelium. Previous studies using Salmonella enterica and Escherichia coli demonstrated the role of the TTSS in translocation across the co-culture model. Salmonella enterica serovar Typhimurium translocated across Caco-2 monolayers in reduced numbers compared to numbers translocating across the co-culture model (Martinez-Argudo & Jepson, 2008). Mutation of either the SPI-1 or SPI-2 secretion systems did not attenuate the ability of the bacteria to translocate across the co-culture model. In contrast, enteropathogenic

E. coli (EPEC) translocate Cediranib (AZD2171) across both Caco-2 monolayers and co-culture models in comparably low numbers (Martinez-Argudo et al., 2007). Mutation of the TTSS resulted in increased numbers of translocated this website bacteria suggesting that, in this instance, the TTSS play an inhibitory role. Studies have demonstrated that viable Vibrio cholerae is transported across rabbit intestinal M cells

(Owen et al., 1986). Vibrio cholerae were also translocated across an M cell-like model, and translocation was enhanced 100- to 1000-fold by cholera toxin binding to the GM1 receptor (Blanco & DiRita, 2006). The V. cholerae strains employed did not possess TTSS, while V. parahaemolyticus does not possess cholera toxin. Therefore, we expected differences in the interaction of each Vibrio species with M cells. This study aimed to investigate the translocation of V. parahaemolyticus and the role of the TTSS in the transport of the bacterium across co-culture models in vitro. The effects of V. parahaemolyticus on the MAPK signalling pathways were also investigated as the bacteria interfere with the MAPK cascades in Caco-2 cells in a TTSS-1-dependent manner (Matlawska-Wasowska et al., 2010). All chemicals and reagents were obtained from Sigma unless otherwise stated. Vibrio parahaemolyticus, RIMD2210633, O3:K6 serotype (Makino et al., 2003) was utilised as the parental strain for mutant construction and as the wild-type (wt) strain.

17–502, p = 002) who have consulted a GP for this trip prior to

17–5.02, p = 0.02) who have consulted a GP for this trip prior to the ITMS consultation (OR = 1.71, 95% CI: 1.05–2.80, p = 0.03) remained significantly associated with good overall compliance with the vaccine recommendations. Of the travelers, 293 (91.3%) complied with recommendations for the use of skin repellents, whereas only 184 (57.3%) used

a mosquito net. Among the 287 prescriptions for antimalarial drugs, 219 (76.3%) were taken correctly, 37 click here (12.9%) were taken incorrectly (<90% of the duration and/or dosage), and 31 (10.8%) were not taken at all. The reasons for noncompliance are reported in Table 3. Poor compliance due to side effects was reported in 20.6% of cases, and the absence of mosquitoes during the stay was the reason put forward in 13.3% check details of cases. The antimalarial chemoprophylaxis was thought too expensive and thus given as the reason for noncompliance for 2.9% of the travelers. The travel destination remained significantly associated with compliance with antimalarial chemoprophylaxis: travelers to Kenya or Senegal reported a compliance of 86.2% versus 73.6% for those who traveled to other countries (p = 0.005).

This difference disappeared when those who traveled anywhere in Africa (including non-touristic areas) were compared with those who traveled to South America (81.1% vs 89.2%, p = 0.78). Compliance with chemoprophylaxis did not appear to be associated with a prior consultation with the GP. On the other hand, a trip shorter than 15 BCKDHB days also appeared to correlate with better compliance with antimalarial prophylaxis (215/253: 85.0% for trips shorter than 15 days vs 46/68: 67.6% for those of longer duration, p = 0.001). In the multivariate analysis, only the duration of the trip remained significantly associated with good compliance with antimalarial chemoprophylaxis (OR for a trip longer than 14 days = 0.37, 95% CI: 0.20–0.68, p = 0.001). The main result of the present study is that the recommendations are fully observed by 57.9% of the travelers attending a representative French ITMS. This underlines the need for better knowledge of the determinants

of compliance with the recommendations, to increase the proportion of patients who follow the recommendations. Compliance with recommendations for vaccination was particularly low, since only 55.1% of the vaccinations prescribed were in fact performed. A survey in one French ITMS in 2006 found a compliance rate of 37%, with the same variations depending on the type of vaccine (good compliance for DTaP-IPV, poor compliance for hepatitis A and typhoid fever vaccines).[2] There are no clear reasons to explain these results. It may nevertheless be suggested that typhoid fever and hepatitis A are largely unknown and not perceived to be a potential infectious threat in the general population despite the recommendations of the ITMS.

The composition of the OB regimens was similar between treatment

The composition of the OB regimens was similar between treatment groups. Most importantly, as a result of their association with lipodystrophy,

the control and treatment groups reported similar proportions of thymidine-analogue NRTI (55.1% and 53.9%, respectively) and PI (79.3% and 80.5%, respectively) use in the OB regimens. A large proportion of patients enrolled in TORO had elevated serum triglycerides (enfuvirtide group, 56%; control group, 55%) and elevated serum cholesterol (enfuvirtide, 34%; control, 33%) at baseline. No differences were ABT-737 in vitro seen between the two treatment groups in the frequency of pre-existing type 2 diabetes (enfuvirtide, 8%; control, 9%) or prior myocardial infarction (enfuvirtide, 2%; control, <1%) at baseline. At week 48, 27% of patients randomized to enfuvirtide and 37% randomized to OB alone, who did not switch to enfuvirtide, had discontinued study treatment. Two hundred and twenty-two patients in the control group who met the protocol-defined criteria for virological failure after week 8 switched to enfuvirtide. Thus, over

the 48-week study period, the duration of exposure to enfuvirtide plus OB was 557 PY in the enfuvirtide group while the duration of exposure to OB alone in the control group was 162 PY. The overall treatment-related AE rate was lower in the enfuvirtide group (96.2 per 100 PY) than in the control group (149.9 per 100 PY); rates for diarrhoea, nausea and fatigue – the most frequently reported AEs – were lower in the enfuvirtide group than in the group ZD1839 receiving an OB regimen alone [19]. The incidence of AEs included in the collapsed terms related to lipodystrophy

and fat distribution did not differ significantly between treatment groups. Overall, 49% and 42% of patients experiencing a treatment-emergent fat distribution AE (collapsed term) in the enfuvirtide and control groups, respectively, reported a family history of diabetes, cardiovascular disease, hyperlipidaemia, and/or adrenal disorders. The incidence of treatment-emergent Clomifene fat distribution AEs (collapsed term) was marginally lower in the enfuvirtide group than in the control group (9.2 vs. 11.7 events per 100 PY, respectively; risk ratio 0.78; 95% CI 0.45, 1.40). The largest difference in specific AE included in the ‘collapsed’ fat distribution AEs between the enfuvirtide and control groups was in lipodystrophy acquired during the study (4.7 vs. 6.8 events per 100 PY, respectively). Similar results were obtained in patients who already had a fat distribution condition at study entry. Over 48 weeks, changes from baseline in glycaemic and laboratory parameters did not differ significantly between treatment groups (Table 2). Slight increases in total cholesterol, HDL cholesterol and glucose levels and a slight decrease in LDL levels were observed in both groups (Table 2).

The CHUMS report found that 22% of residents in care homes had at

The CHUMS report found that 22% of residents in care homes had at least one drug administration error, although

very few were of clinical relevance.1 Criticism of care workers raises the issue of whether there is an open and ‘blame-free ‘culture with regard to the reporting of medication errors in order to avoid repeating similar mistakes. The aim of this study was to determine whether stress or anxiety when administering medicines might have an impact on the extent to which staff believe they may be blamed for making buy Cyclopamine a mistake. An attitudinal (Likert-style) self-completion questionnaire, based on the views of local social services carers derived from a previous focus group, was posted to a random sample of 800 care homes in England. A covering letter requested that the care home manager should complete one questionnaire and a second

to be completed by a junior or senior carer with responsibility for administering medicines. The questionnaire included scored attitudinal statements associated with confidence, stress and blame to which respondents were invited to respond with ‘strongly agree’ (5), ‘agree’ (4), ‘neither agree nor disagree’ (3), ‘disagree’ (2) and ‘strongly disagree’ (1) (see Table 1). Attitude scores were compared according to the level of seniority of staff. The study was approved by a Faculty Research Ethics Committee. Returns from 124 (16%) homes yielded 223 valid questionnaires. Nearly all staff were confident of administering medicines correctly although approximately 20% fewer junior staff ‘strongly agreed’ with this statement compared with senior GDC-0199 cost colleagues (Kruskal-Wallis, independent samples p = 0.02*). One in five was worried about being blamed for making a mistake and this figure rose to one in three for junior staff. Eleven per cent of carers stated that they were often stressed when administering medicines. There was a moderate positive correlation between ‘worry about being blamed’ and ‘feeling Cyclin-dependent kinase 3 stressed’ (R = 0.53, p < 0.01) and a weak negative correlation between ‘worry about being blamed’ and ‘I feel confident that I am able to administer medicines correctly’

(R = −0.22, p = 0.01). Table 1 Mean attitude scores and proportion in agreement with statement on level of confidence, feeling stressed and worry about being blamed Position in care home I feel confident that I am able to administer medicines correctly I often feel stressed when administering medicines I worry about being blamed for making a mistake with medication   (Mean, 95% CI and % who agreed or strongly agreed) (Mean, 95% CI and % who agreed or strongly agreed) (Mean, 95% CI and % who agreed or strongly agreed) Manager n = 126 4.9 (4.8, 5.0) 99% 1.9 (1.8, 2.0) 11% 2.4 (2.2, 2.6) 18 % Senior n = 75 4.8 (4.7, 4.9 ) 100% 1.9 (1.8, 2.0 ) 11% 2.6 (2.3, 2.8) 25% Junior n = 22 4.6 (4.4, 4.8) 100% * 1.9 (1.8, 2.0 ) 9% 2.5 (2.0, 3.