We used our electronic database to search for inner ear malformat

We used our electronic database to search for inner ear malformations H 89 described between 1995 and 2009 and extracted 81 ears (of 47 patients) with hypoplastic cochleae out of 289 patients with inner ear malformations. Two neuroradiologists evaluated the available CT and MRI data. Measurements of all inner ear structures were performed. Accompanying findings were listed.

Cochlear hypoplasia (58 ears,

32 patients) often involves not only the apical turn being reduced in size but also the basal turn being smaller in length. Additionally, 11 ears (eight patients) of hypoplastic cochleae with only a basal turn and five ears (four patients) of cochleae with only a small bud were identified. Non-classifiable hypoplastic cochleae (seven ears, five patients) were those with either a rudimentary or an absent basal turn or a “”dwarf appearance”" with no further partition.

The term “”hypoplastic cochlea”" is very general; a further division into

severe and less severe forms based on the length and existence of cochlea turns is possible and can help enhance the comparison of CI outcome data. Measurements can help the less experienced radiologist to detect them more easily.”
“Aims:

Vibrio vulnificus is a major cause of seafood-related deaths in the United States. Several biomarkers, e.g. the virulence-correlated gene (vcg), 16S rRNA, and the capsular polysaccharide operon (CPS) have been used to differentiate virulent- from nonvirulent-type NSC23766 V. vulnificus Masitinib (AB1010) strains. In this study, we combined the use of these biomarkers with a species-specific V. vulnificus cytolysin/haemolysin gene (vvhA) to develop two pairs of multiplex PCR assays that simultaneously detect and characterize V. vulnificus strains.

Methods and Results:

The first multiplex PCR pair amplified four genes (vvhA, vcg, 16S rRNA,

and CPS), with one for virulent-type and the other one for nonvirulent-type V. vulnificus strains, while the second pair targeted three of those genes excluding CPS. Primer concentration and annealing temperature were optimized for the four multiplex PCR assays. When testing ten V. vulnificus reference strains and 80 field oyster isolates, results from each multiplex PCR matched 100% with known strain characteristics for these target genes.

Conclusions:

The optimized multiplex PCR assays were capable of simultaneously detecting and characterizing V. vulnificus with high specificity and speed.

Significance and Impact of the Study:

Multiplex PCR assays designed in this study are valuable tools for microbial ecology and epidemiology studies. They may facilitate better control of V. vulnificus risks in oysters, thereby reducing the number of illnesses and deaths because of V. vulnificus in the long run.”
“Diffusion weighted imaging and diffusion tensor imaging (DTI) give information about the amount and directionality of water diffusion occurring in a given tissue.

The cerebellar granule neurons from postnatal

The cerebellar granule neurons from postnatal BMS202 in vitro 8-day infant rats were exposed to IL-6 for 8 days, and also pretreated chronically with Janus kinase (JAK) inhibitor AG490 and mitogen-activated protein kinase

(MAPK) inhibitor PD98059. NMDA stimulated the cultured neurons for 30 min to induce neuronal injury and death. Cell counting kit-8 assay and Western blot were employed to measure neuronal vitality and cleaved caspase-3 expression, respectively. The chronic IL-6 exposure prevented the suppression of the neuronal vitality and the enhancement of the cleaved caspase-3 level induced by NMDA. The neuroprotective effect of IL-6 depended on IL-6 concentration and neuronal damaged degree. IL-6-induced STAT3 phosphorylation was inhibited by AG490 but not by PD98059; and IL-6-induced ERK1/2 activation was blocked by PD98059 but not by AG490. Either AG490 or PD98059 blocked GPCR & G Protein inhibitor the IL-6 protection against the NMDA-elicited neuronal vitality decrease and caspase-3 activation increase. These findings suggest that IL-6 protects neurons from NMDA-induced excitoxicity and the IL-6 neuroprotection may be transduced by both JAK/STAT3 and RAS/MAPK

pathways. (C) 2008 Elsevier Ireland Ltd. All rights reserved.”
“Background: Early recurrent stenosis of the cephalic arch in autogenous arteriovenous access for hemodialysis is a common problem that requires stenting to prevent thrombosis. Because the results of stenting are unsatisfactory, we compared the efficacy of stent grafts with bare stents in these patients.

Methods. All patients who presented with recurrent cephalic arch stenosis > 50% Metabolism inhibitor within 3 months of successful balloon angioplasty were randomized to have angioplasty and stenting with either a bare nitinol stent or a stent graft. Outcome was assessed by angiography 3 months later. Restenosis was defined as > 50% narrowing of the stent lumen or of the vessel margin up to 0.5 cm adjacent to the stent. There were no exclusions.

Results: This report includes

data on the outcome of 25 consecutive patients with recurrent cephalic arch stenosis who were treated from April to August 2006. At 3 months, three patients had died and one had undergone a renal transplant. The 21 patients who had angiography at 3 months had patent stents. Restenosis rates were seven of 10 (70%) in the bare stent group and two of 11 (18%) in the stent graft group (P = .024). Life-table analysis at 3 and 6 months showed that primary patency was 82% in the stent graft group and 39% in the bare stent group. One-year primary patency was 32% in the stent graft group and 0% in the bare stent group (P = .0023). During a mean follow-up of 13.7 months, nine patients died, four in the bare stent group and five in the stent graft group. Two patients in the stent graft group had received a renal transplant. The number of interventions per patient-year was 1.9 in the bare stent group and 0.

In the Daily Trial, there were no significant differences between

In the Daily Trial, there were no significant differences between groups in changes in serum albumin or the equilibrated protein catabolic rate by 12 months. There was a significant relative decrease in predialysis body weight of 1.5 +/- 0.2 kg in the six times per week group at 1 month, but this significantly rebounded by 1.3 +/- 0.5 kg over Vistusertib order the remaining 11 months. Extracellular water (ECW) decreased in the six times per week compared with

the three per week hemodialysis group. There were no significant between-group differences in phase angle, intracellular water, or body cell mass (BCM). In the Nocturnal Trial, there were no significant between-group differences in any study parameter. Any gain in ‘dry’ body weight corresponded to increased adiposity rather than muscle mass but was not statistically significant. Thus, frequent in-center hemodialysis reduced ECW but did not increase serum albumin or BCM while frequent nocturnal hemodialysis yielded no

net effect on parameters of nutritional status or body composition. Kidney International (2012) 82, 90-99; doi: 10.1038/ki.2012.75; published online 28 March 2012″
“Genetic factors are involved in variation in fetal alcohol spectrum disorders (FASD), which is also observed among various inbred mouse strains. The CD1 mouse strain is often used in toxicological and genetic experiments. However, there is little literature using this strain to study long-term see more neurologic abnormalities of FASD. In the present study, we addressed the effect of prenatal ethanol exposure on neurological alterations in adult CD1 mice. The female

CD1 mice received exposure to ethanol solution (10 vol%) starting from 2 weeks before mating up to pups born (postnatal day 1). At 24 weeks after the birth, the prenatal ethanol-exposed mice and control mice showed no difference in spatial learning and memory performance in a Morris water maze. Consistently, Etomidate pathological changes, such as increased neuronal apoptosis, decreased synaptic protein synaptophysin expression, synaptic loss and reactive astrogliosis, were not observed in the hippocampus of mice prenatally exposed to ethanol. These results suggest that CD1 mice are highly resistant to prenatal alcohol exposure and may serve as genetic modification models of FASD. NeuroReport 24: 196-201 (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins. NeuroReport 2013, 24: 196-201″
“The antidepressant-like effect of the ethanolic extract obtained from barks of Tabebuia avellanedae, a plant widely employed in folk medicine, was investigated in two predictive models of depression: forced swimming test (EST) and tail suspension test (TST) in mice.

The intra-class correlation coefficient (ICC) for independent ROI

The intra-class correlation coefficient (ICC) for independent ROI measurements was 0.90 (genu) and 0.90 (splenium). There were no regions where FA values were significantly higher in the patients than in the healthy controls.

Conclusions. Widespread structural dysconnectivity, including the subcortical region, is already present

this website in neuroleptic-naive patients in their first episode of illness.”
“Although the intermediary role of central neurons in the hypertensive and sympathoexcitatory actions of cyclosporine (CSA) has been recognized in previous studies including our own, the underlying mechanism remains obscure. In this study, we tested the hypothesis that central pathways of nitric oxide (NO) and carbon monoxide (CO) modulate the blood pressure (BP) response elicited by CSA in conscious rats. Hemodynamic effects of CSA were evaluated in absence and presence of maneuvers that inhibit or facilitate biosynthesizing enzymes of NO (NOS) or CO (heme oxygenase, HO). CSA (20 mg/kg i.v.) produced abrupt increases in BP that peaked in 5 min and maintained for at least 45 min. The hypertensive effect

of CSA disappeared in rats pretreated intracisternally (i.c.) with N-omega-nitro-L-arginine methyl ester (L-NAME, nonselective NOS inhibitor), N-5-(1-iminoethyl)-L-ornithine (L-NIO, selective eNOS inhibitor), N-omega-propyl-L-arginine (NPLA, selective nNOS inhibitor), or 1H-[1,2,4] oxadiazolo[4,3-a] quinoxalin-1-one (ODQ, guanylate cyclase inhibitor), suggesting the importance of central eNOS/nNOS/GC selleck cascade in CSA-induced hypertension. L-NAME Avelestat (AZD9668) also abolished the hypotension caused by the sympatholytic drug moxonidine, indicating a tonic sympathoinhibitory action for NO. The inhibition of HO activity by zinc protoporphyrin IX (ZnPP) abrogated the hypertensive action of CSA. The abolition by L-NAME or ZnPP of CSA hypertension was compromised upon simultaneous i.c. exposure to hemin (HO substrate) and L-arginine (NOS substrate), respectively. Together, the interruption of the mutually facilitated NOS/NO and HO/CO pathways and coupled GC/cGMP in central neuronal pools

accounts, at least partly, for the hypertensive and perhaps sympathoexcitatory actions of CSA. (C) 2011 Elsevier Ltd. All rights reserved.”
“The thyroid hormone receptors, encoded by the TR alpha and TR beta genes, are ligand-dependent transcription factors that belong to the nuclear receptor superfamily. In addition to the role of these receptors in growth, development and metabolism, there is increasing evidence that they also inhibit transformation and act as tumor suppressors. Aberrant TR action, as well as receptor silencing, are common events in human cancer, and TRs also have an important role in tumor progression in experimental animal models, suggesting that these receptors constitute a novel therapeutic target in cancer.

It is concluded that (i) poor

It is concluded that (i) poor selleck chemical memory, rather than less attention to reward or impulsivity, contributes to IGT performance deficit, and (ii) the relationship of IGT performance and its components with GMVs especially in the frontal and temporal lobes is lost or attenuated in schizophrenia. (c) 2008 Elsevier Ltd. All rights reserved.”
“Heparin-induced thrombocytopenia is a serious complication of heparin therapy that can lead to thromboembolism, cardiovascular events, and death. Hemodialysis patients are repeatedly exposed to heparin and are at risk for developing antibodies to the platelet factor 4-heparin (PF4-H) complex. We sought to determine the association

between PF4-H antibodies and mortality in a prospective cohort of 419 asymptomatic hemodialysis patients. Pre-dialysis blood samples were screened for nonspecific PF4-H antibodies, and all positive and indeterminate samples

were subsequently tested using immunoglobulin (Ig) G-specific PF4-H and platelet serotonin-release assays. During a median follow-up of 2.5 years there were 129 all-cause deaths. After controlling for potential confounding variables, the relative risk of death was significantly increased for patients with IgG-specific PF4-H antibodies and further elevated with an indeterminate serotonin-release assay. Our study suggests that IgG-specific Combretastatin A4 chemical structure PF4-H antibody formation is associated with increased mortality in hemodialysis patients.”
“Hemispheric asymmetries for processing duration of non-verbal and verbal sounds were investigated in 60 right-handed EGFR inhibitor subjects. Two dichotic tests with attention directed to one ear were used, one with complex tones and one with consonant-vowel syllables. Stimuli had three possible durations: 350, 500, and 650 ms. Subjects judged whether the duration of a probe was same or different compared to the duration of the target presented before it. Target and probe were part of two dichotic pairs presented with 1 s interstimulus interval and occurred on the same side. Dependent

variables were reaction time and accuracy. Results showed a significant right ear advantage for both dependent variables with both complex tones and consonant-vowel syllables. This study provides behavioural evidence of a left hemisphere specialization for duration perception of both musical and speech sounds in line with the current view based on a parameter – rather than domain-specific structuring of hemispheric perceptual asymmetries. (c) 2008 Elsevier Ltd. All rights reserved.”
“The Breast Cancer Resistance Protein (BCRP/ABCG2) is a transporter restricting absorption and enhancing excretion of many compounds including anticancer drugs. This transporter is highly expressed in many tissues; however, in human kidney, only the mRNA was found in contrast to the mouse kidney, where the transporter is abundant.

These changes may lead to differences in the extent of trapping a

These changes may lead to differences in the extent of trapping and retention of the (64)Cu in different cell types. For example, copper uptake might be increased in cells with lower pH due to the lower stability of metal bis(thiosemicarbazones) under acidic conditions. Reaction rates with cellular reductants also vary with pH, which

differs this website between cellular organelles. For Cu(II)-ATSM to reach its full potential, more complete characterization of the mechanism of cellular trapping in different cell types is required. (C) 2010 Elsevier Inc. All rights reserved.”
“Introduction: We describe a compact, portable dual-gamma camera system (named “”MONICA”" for MObile Nuclear Imaging CAmeras) for visualizing and analyzing the whole-body biodistribution of putative diagnostic and therapeutic single photon emitting GSK2126458 nmr radiotracers in animals the size of mice.

Methods: Two identical, miniature pixelated Na(TI) gamma cameras were fabricated and installed “”looking up”" through the tabletop of a compact portable cart. Mice are placed directly on the tabletop for imaging. Camera imaging performance was evaluated with phantoms and field performance was evaluated in a weeklong In-111 imaging study performed in a mouse tumor xenograft model.

Results: Tc-99m performance measurements, using a photopeak

energy window of 140 keV +/- 10%, yielded the following results: spatial resolution (FWHM at 1 cm), 2.2 mm; sensitivity, 149 cps (counts per seconds)/MBq (5.5 cps/mu Ci); energy resolution (FWHM, full width at half maximum). 10.8%; count rate linearity (count rate vs. activity), r(2)=0.99 for 0-185 MBq (0-5 mCi) in the field of view (FOV); spatial uniformity, <3% count rate variation across the FOV. Tumor and whole-body distributions of the In-111 agent were well visualized in all animals in 5-min images acquired throughout the 168-h study period.

Conclusion: Performance measurements indicate that MONICA is well suited to whole-body single photon mouse imaging. The field study suggests that inter-device communications and user-oriented interfaces included in the MONICA

design facilitate use of Florfenicol the system in practice. We believe that MONICA may be particularly useful early in the (cancer) drug development cycle where basic whole-body biodistribution data can direct future development of the agent under study and where logistical factors, e.g., limited imaging space, portability and, potentially, cost are important. (C) 2010 Elsevier Inc. All rights reserved.”
“Chikungunya (CHIKV), Dengue (DENY) and West Nile (WNV) viruses are arthropod-borne viruses that are able to emerge or re-emerge in many regions due to climatic changes and increase in travel. Since these viruses produce similar clinical signs it is important for physicians and epidemiologists to differentiate them rapidly. A molecular method was developed for their detection and quantitation in plasma samples and a DENY typing technique were developed.

(2,3) In this review, we focus on types of immunodeficiencies in

(2,3) In this review, we focus on types of immunodeficiencies in which defects in pattern-recognition receptors and their downstream intracellular pathways predominate.”
“Mouse models serve as relatively new yet powerful research tools to study intimal hyperplasia and wall remodeling of vein bypass graft failure.

Several model variations have been reported in the past decade. However, the approach demands thoughtful preparation, selected sophisticated equipment, microsurgical technical expertise, advanced tissue processing, and data acquisition. This review compares several described models and aims (building on our personal experiences) to practically aid the investigators who want to utilize mouse models of vein graft failure. (J Vase Surg 2010;52:444-52.)

Clinical Relevance: Surgical revascularization via vein grafting offers immediate and often dramatic end Selleckchem Omipalisib organ benefit. However, substantial percentages

of vein conduits placed develop stenosis or fail, often early. ISRIB order Mechanistic studies of the complex interplay between the biologic and physical forces that drive failure have been hampered by limited quantity and quality of clinical specimens, and the inability of systems such as computer models and cell culture to mimic the clinical circumstance. This review summarizes the power and limitations of mouse vein graft models, and it includes practical experience-based advice for researchers aiming to utilize this tool.”
“An 18-year-old black woman with a history of asthma presented with fever, ear pain, and dull discomfort on the right side of her chest that was unchanged with movement or inspiration. She had no other symptoms and had been well until the morning of presentation. On examination, her temperature was 38.8 degrees C, and

her right tympanic membrane was inflamed. Although the lungs were clear on auscultation, radiography revealed air-space opacities in both lower lobes. Azithromycin was prescribed. Her symptoms resolved within 24 hours, and repeat radiography Interleukin-3 receptor performed 1 week later showed that the opacities, although still present, had diminished.”
“Urologic complications related to vascular surgery involving the ureter have been well recognized. These include ureteral compression from aneurysms, congenital anomalies such as retrocaval ureter, obstruction from retroperitoneal fibrosis, iatrogenic injury, and ureteric fistulas. Complications involving the bladder are more infrequent. Most of these bladder-related complications involve the use of tunneling devices for synthetic bypass grafts. We report an unusual case of a transvesically placed femoral-femoral bypass graft with delayed presentation. We also reviewed the English literature for experience with diagnosis and treatment of bladder injuries during vascular surgical procedures. (J Vase Surg 2010; 52:453-5.


“Short-latency ocular following are reflexive, tracking ey


“Short-latency ocular following are reflexive, tracking eye movements that are observed in human and non-human primates in response to a sudden and brief translation of the image. Initial, open-loop part of the eye acceleration reflects many of the properties attributed to low-level motion processing. We review a very large set of behavioral data demonstrating several key properties of motion detection and integration stages and their dynamics. We propose that these properties can be modeled as a behavioral receptive field exhibiting linear and nonlinear mechanisms responsible for context-dependent

spatial integration and gain EPZ015938 purchase control. Functional models similar to that used for describing neuronal properties of receptive fields can then be applied

successfully. (C) 2011 Elsevier Ltd. All rights reserved.”
“Evolutionists strive to learn about the natural historical process that gave rise to various taxa, while also attempting to classify them efficiently and make generalizations about them. The quantitative importance of lateral gene transfer inferred from genomic data, although well acknowledged by microbiologists, selleck chemicals llc is in conflict with the conceptual foundations of the traditional phylogenetic system erected to achieve these goals. To provide a true account of microbial evolution, we suggest Oxalosuccinic acid developing an alternative conception of natural groups and introduce a new notion – the composite evolutionary unit. Furthermore, we argue that a comprehensive database containing overlapping taxonomical groups would constitute a step forward regarding the classification of microbes in the presence of lateral gene transfer.”
“Events over the past year have brought hope and have re-energized the interest in targeting pre-infection or early infection period with preventative or therapeutic interventions such as vaccines and pre-exposure prophylaxis (PrEP). In breakthrough infections, the incidence, long term prognosis and clinical significance of early infection

events is not well understood but it is possible that these early events may be crucial in determining the subsequent course of disease. We use a branching process model in a deterministically varying environment to explore how the dynamics of early infection affects the accumulation of mutations which lay the seeds for long term evolution of drug resistance and immune system evasion. We relate this exploration to regimes of impact, on diversity, of tropical interventions strategies such as PrEP and vaccines. As a metric of diversity we compute the probability of existence of particular genomes which potentially arise. Using several model scenarios, we demonstrate various regimes of ‘response’ of evolution to ‘intervention’.

Our preliminary results suggest that methadone plays a role in th

Our preliminary results suggest that methadone plays a role in the impairment of WM integrity in heroin users on long-term MMT and the normalization of WM injury may occur

during abstinence. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“The coronavirus nucleocapsid (N) protein is a virion structural protein. It also functions, however, in an unknown way in viral replication and localizes to the viral replication-transcription AZD2014 complexes (RTCs). Here we investigated, using recombinant murine coronaviruses expressing green fluorescent protein (GFP)-tagged versions of the N protein, the dynamics of its interactions with the RTCs and the domain(s) involved. Using fluorescent recovery after photobleaching, we showed that the N protein, unlike the nonstructural protein 2, is dynamically associated with the RTCs. Recruitment of the N protein to the RTCs requires the C-terminal N2b domain, which interacts with other N proteins in an RNA-independent

manner.”
“Several studies have suggested an important role for brain-derived neurotrophic factor (BDNF) in the pathophysiology and therapeutics of bipolar disorder Selleckchem ARRY-438162 (BPD). The mechanisms underlying the therapeutic effects of lithium in BPD seem to involve a direct regulation of neurotrophic cascades. However, no clinical study evaluated the specific effects of lithium on BDNF levels in subjects with BPD. This study aims to investigate the effects of lithium monotherapy on BDNF levels in acute mania. Ten subjects with bipolar I disorder in a manic episode were evaluated at baseline and after 28 days of lithium therapy. Changes in plasma BDNF levels and Young Mania Rating Scale (YMRS) scores were analyzed. A significant increase in plasma BDNF levels was observed after 28 days of therapy with lithium monotherapy (510.9 +/- 127.1 pg/mL) compared to pre-treatment (406.3 +/- 69.5 pg/mL)

(p = 0.03). Although it was not found a significant association between BDNF levels and clinical improvement (YMRS), O-methylated flavonoid 87% of responders presented an increase in BDNF levels after treatment with lithium. These preliminary data showed lithium’s direct effects on BDNF levels in bipolar mania, suggesting that short-term lithium treatment may activate neurotrophic cascades. Further studies with larger samples and longer period may confirm whether this biological effect is involved in the therapeutic efficacy of lithium in BPD. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“Hepatitis C virus (HCV) nonstructural protein 5B (NS5B), the viral RNA-dependent RNA polymerase (RdRp), is a tail-anchored protein with a highly conserved C-terminal transmembrane domain (TMD) that is required for the assembly of a functional replication complex. Here, we report that the TMD of the HCV RdRp can be functionally replaced by a newly identified analogous membrane anchor of the GB virus B (GBV-B) NS5B RdRp.


“Auditory learning or experience induces large-scale neura


“Auditory learning or experience induces large-scale neural plasticity in not only the auditory selleck screening library cortex but also in the auditory thalamus and midbrain. Such plasticity is guided by acquired sound (sound-specific auditory plasticity). The mechanisms involved in this process have been studied from various approaches and support the presence of a core neural circuit consisting of a subcortico-cortico-subcortical tonotopic loop supplemented by neuromodulatory (e.g., cholinergic) inputs. This circuit has three key functions essential for

establishing large-scale and sound-specific plasticity in the auditory cortex, auditory thalamus and auditory midbrain. They include the presence of sound information for guiding the plasticity, the communication between the cortex, thalamus and midbrain for coordinating the plastic changes and the adjustment of the circuit status for augmenting the plasticity. This review begins with an overview of sound-specific auditory plasticity in the central

auditory system. It then introduces the core neural circuit which plays an essential role in inducing sound-specific auditory plasticity. Finally, the core neural circuit and its relationship to auditory learning and experience are discussed. (C) 2008 Elsevier Ltd. All rights reserved.”
“Objective: The Bentall procedure is routinely performed using a straight Dacron graft coupled with a mechanical or a biologic valve. Creation of coronary ostia buttons significantly reduces tension on the coronary anastomoses and consequently the incidence of pseudoaneurysm formation. ATR inhibitor We sought to evaluate if the use of a specifically designed graft with a sinuslike root portion that bulges out upon pressurization can reduce stress on coronary anastomoses. A finite element computer-assisted stress analysis was used to simulate these 2 different anatomic

conditions and to analyze tension in computed tomographic scans obtained from patients operated on with either a straight or a “”sinus” graft.

Methods: Theoretical models of the procedures click here with finite element computer-aided design technique were created and tested with the Abaqus Standard Suite, verifying the pattern of stress and strain when a uniform pressure of 200 mm Hg was applied to the model. Next, using SimpleWare SCanIP technology, computed tomographic scans of patients having both procedures were used to obtain finite element mesh models. A uniform pressure of 200 mm Hg was then applied, and the distribution of stress and strain was analyzed.

Results: Von Mises Charts are color-coded, computational, 3-dimensional stress-pattern graphics that show that stress around the coronary ostia in a standard straight graft model is nearly double compared with the model with sinuses (peak stress of 0.4 Mpa for the sinus model and 0.7 Mpa for the traditional straight model).