Recent studies also have showed that overexpression of these EMT-

Recent studies also have showed that overexpression of these EMT-related transcription factors can also induce a CD44-high/CD24-low pattern on epithelial cells, which is associated with the somatic selleck products cells obtaining stem cell and CSC properties (Mani et al, 2008). Metastatic potential depends on multiple factors that determine overall tumour cell growth, survival, angiogenesis, and invasion. For epithelial malignancies, the EMT is considered to be a crucial event in the metastatic process, which involves disruption of epithelial cell homoeostasis and the acquisition of a migratory mesenchymal phenotype. The EMT appears to be controlled by canonical pathways such as the Wnt and transforming growth factor �� pathways, both of which can be aberrantly activated during neoplasia.

A recent report suggests that there may be a direct link between the EMT and acquisition of stem cell properties (Mani et al, 2008). In this study, we found that many diverse lines of evidence suggest a possible link between CD44, CSCs, the sphere-forming culture, and tumour metastasis. During the process of tumour metastasis, lipid raft-associated CD44 is required for survival in the suspension condition, and then nuclear CD44/acetylated-STAT3 generates cells with properties of CSCs and the EMT phenotype by transcriptional reprogramming, leading to drug resistance, tumour metastasis, and a resulting poor prognosis. The observations in this study have important implications, as they propose to indicate that targeting of CD44 might be key to interfering with the formation and spread of cancers.

This study, for the first time, will demonstrate the role of CD44 in tumour metastasis by using a model where multiple phenotypic cancer cell subpopulations coexist in a dynamic equilibrium and where the tumourigenic and metastatic properties of cell subsets, including CSCs, can be tested concurrently, trying to chart their functional and hierarchical relationships. Results CD44 leading to stable changes in cell ability and morphology after the suspension culture In this study, we tested whether the transcriptional reprogramming led by nuclear CD44 has an active role in transforming cancer cells to a CSC-like phenotype. First, we analysed the expression patterns of the CSC surface marker CD44 using fluorescence-activated cell sorting (FACS) for the following six human colon cancer cell lines: COLO 205, COLO 320, HCT-116, HT29, DLD-1, and LoVo cells. As shown in Supplementary Figure S1, COLO 205, COLO 320, and HCT-116 cells showed a high level of CD44 expression, with up to 90% of cells Brefeldin_A expressing CD44, whereas HT29, DLD-1, and LoVo cells showed as little as 70% expression. We fractionated HT29 and DLD-1 cells by FACS into CD44+ and CD44? cell fractions.

The ��methylation status�� data column in Table 1 reflects these

The ��methylation status�� data column in Table 1 reflects these 2 situations (e.g., Hypo/New ceritinib novartis for a single gene, in a particular tissue). Analysis of sequenced AP-PCR products. The sequences were subjected to BLAT database searches of the mouse genome (UCSC Genome Browser, July 2007 mouse assembly (http://genome.ucsc.edu/cgi-bin/hgBlat?command=start&org=mouse) in order to ascertain in which regions of the genome the unique PB-induced precancerous and tumor RAMs occurred. The BLAT program aligns a nucleotide or amino acid sequence to an index of an entire animal genome. For DNA sequence queries, BLAT can detect sequence alignments of 95% or greater similarity of regions with lengths of 25 or more base pairs.

Additional information about the genomic region/gene is listed, including, but not limited to: gene information, sequence conservation between species, GC percentage, and the location of single nucleotide polymorphisms and repeat elements. The unique RAMs were classified according to a scheme that indicates where, in relation to a gene (e.g., within an intron, within an exon, upstream of the transcriptional start site), they are located. RAMs were also categorized by chromosomal location and gene function. Gene Ontology information for Supplemental Figure S5 was obtained from http://www.geneontology.org/. The functions of the genes identified using BLAT searches were investigated via Pathway Studio 5.0 (Ariadne Genomics, Rockville, MD). In this fashion, connections between each individual gene and other genes, cellular processes, or disease states were elucidated.

For a subset of the genes, examples of these analyses are located in Supplemental Figures S6-S9. In addition, common targets and common regulators of genes identified from unique RAMs in both the precancerous and tumor tissue were discerned. Pathway Studio 5.0 was also utilized to uncover documented links between unique precancerous and tumor RAMs and cancer-related processes, including angiogenesis, apoptosis, epithelial-mesenchymal cell transition (EMT), migration/invasion/metastasis and growth and survival. Comparison of Genes/Genomic Regions Identified from Unique PB-Induced RAMs that Formed in both CAR WT (Precancerous Liver and/or Liver Tumor) to Genes/Genomic Regions Identified from Unique PB-induced RAMs in Liver Tumor�CSusceptible B6C3F1 Mice (2 and/or 4 Weeks) We previously identified 170 total unique RAMs in livers of tumor-susceptible B6C3F1 mice treated with 0.

05% (wt/wt) PB for 2 or 4 weeks, as compared with the resistant C57BL/6 stock (Bachman et al., 2006b), and PCR products representing 90 of these 170 (53%) RAMs were cloned and subjected to BLAT searches that resulted in 51 annotated genes (Phillips and Goodman, 2008). Unique B6C3F1 RAMs at 2 and 4 weeks, which corresponded to identical Batimastat genes and uncharacterized regions (i.e.

Data were then analyzed separately for each sex using

Data were then analyzed separately for each sex using selleck kinase inhibitor two-way ANOVAs. When appropriate, post-hoc comparisons were carried out using the Newman�CKeuls test. Nonparametric tests (exact Fisher��s test) were used to compare the percentage of mice using the spatial strategy. All values are expressed as mean �� SEM. Differences were considered statistically significant at p < .05. Results Cognitive Function in ��4+/+ and ��4?/? mice Y maze Spontaneous alternation behavior did not differ between ��4+/+ and ��4?/? mice (data not shown). Analyses of the percentage of spontaneous alternations and total number of arm entries revealed no effect of Genotype or Genotype by Sex interaction. Barnes Maze Task acquisition. Both ��4+/+ and ��4?/? mice acquired the Barnes maze task during 12 daily training trials (Supplementary Figure 1).

The ANOVA revealed that the number of errors (Supplementary Figure 1a; main effect of Trials: F(11, 913) = 21.15, p < .00001) and time to find the escape tunnel (Supplementary Figure 1B; main effect of Trials; F(11, 913) = 19.80, p < .0001) were significantly decreased across training trials. There was a significant interaction between the factors Trial and Sex for the number of errors (F(11, 913) = 3.42, p < .01) and time to find the escape tunnel (F(11, 913) = 2.77, p < .01), with females learning faster than males (data not shown). There was no significant main effect of the factors Sex or Genotype and no interaction effects. A comparison of strategies used by ��4+/+ and ��4?/? mice during task acquisition revealed no Genotype differences (Supplementary Figure 2 in Supplementary material online).

Across three 4-trial blocks, all mice progressively increased the use of spatial (main effect of Block; F(2, 166) = 34.7, p < .0001; Supplementary Figure 1C) and serial (main effect of Block; F(2, 166) = 7.3, Anacetrapib p < .001; Supplementary Figure 1B) strategies and decreased the use of the random strategy (main effect of Block; F(2, 166) = 62.17, p < .0001; Supplementary Figure 1a). By the end of task acquisition (Block 3), independent of genotype, female mice were using the random search strategy significantly less (main effect of Sex; F(3, 83) = 5.8, p < .05) and the serial strategy significantly more (Block by Sex interaction; F(2, 166) = 4.72, p < .01) compared with male mice (data not shown). Additional analyses were performed to compare the use of a spatial strategy to find the target defined as the percentage of mice using spatial memory in at least three of the four last training trials in Block 3. Male ��4?/? mice tended to use the spatial strategy less than ��4+/+ males or females of either genotype (Figure 1A). Figure 1. Use of spatial strategy to find the escape tunnel in the Barnes maze.

coli triplex B1 strains are prevalent in PID across several locat

coli triplex B1 strains are prevalent in PID across several locations [32]. However, the evolutionary background of EnPEC is not clear. One possibility is that the endometrial pathogens selleck Tipifarnib may have originated and evolved from intestinal E. coli, as fecal contamination of the vulva and vagina is common. The relationship between EnPEC and DEC or ExPEC requires further exploration before firm conclusions can be drawn. There was little evidence that the uterine E. coli isolates possessed the common pathogenicity genes commonly associated with adhesion, invasion and virulence of DEC or ExPEC although the 17 genes tested only represent a small proportion of the available total [14], [26]. It is noteworthy that the fyuA gene was found in EnPEC but not E. coli from the uterus of clinically unaffected animals.

The fyuA gene encodes the outer membrane protein ferric yersiniabactin uptake that is important for iron uptake and for biofilm formation in UPEC [27], and the scavenging of iron by bacteria in the endometrium may warrant further investigation. The identification of novel pathogenicity genes in EnPEC for the endometrium is likely best accomplished by genome sequencing. Cells recognise LPS via the TLR4/MD-2/CD14 complex and much of the pathology associated with Gram-negative bacteria is associated with the binding of LPS to TLR4 [17]. Endometrial cells challenged with LPS preferentially secrete PGE [18], [19] and the chemokine IL-8, which attracts neutrophils to the endometrium [24]. In the present study, LPS purified from MLST cluster 4 bacteria stimulated the greatest accumulation of PGE or IL-8 in bovine endometrial cells.

Differences in the the cellular inflammatory response between LPS from different E. coli may be associated with structural differences between the LPS of different bacterial strains [33]; or differences in other virulence mechanism that result in exposure of the endometrium to LPS. Endometrial cells isolated from wild type mice also secreted PGE and the chemokine CXCL1, which is the murine chemokine similar to IL-8, in response to LPS from EnPEC but not more than the ultrapure LPS. The cellular response to LPS was abrogated in endometrial cells purified from TLR4?/? mice. These data confirm the important role that TLR4 has in binding LPS during the generation of the innate immune response [17]. Furthermore, it is clear that TLR4 on endometrial epithelial and stromal cells plays an important role in the response to bacterial infection of the uterus and the development of PID [18], [19], [34]. An important observation from the present study was that the EnPEC could cause PID in mice and that the clinical disease was more severe Batimastat when cluster 4 rather than cluster 1 bacteria were infused into the uterine lumen.

These results are consistent with a number of recent meta-analyse

These results are consistent with a number of recent meta-analyses showing small but significant effects www.selleckchem.com/products/epz-5676.html of brief motivational interventions on smoking (Heckman et al., 2010; Hettema & Hendricks, 2010; Lai et al., 2010). Thus, the clearest implication of these findings is that further fully powered trials investigating the CD-5As approach are merited. Confirmation of the acceptability and efficacy of this approach could allow a substantial increase in the proportion of pregnant smokers who receive an evidence-based brief intervention. Funding This research was supported by grant # DA021668 from the National Institute on Drug Abuse and the Eunice Kennedy Shriver National Institute of Child Health & Human Development to SJO. Declaration of Interests SJO is part owner of a company marketing authorable intervention software.

No other authors have competing interests to declare.
About 250 million children and adolescents alive today will die from tobacco use (Navarro, 2001), and 70% of these children live in developing countries (Prokhorov et al., 2006). According to global tobacco use estimates, the Region of the Americas (which included Latin America) has one of the highest rates of past-month adolescent smoking (17.5%; Warren, Jones, Eriksen, Asma, & Global Tobacco Surveillance System Colloborative Group, 2006), and in Latin America, Chilean youth have the highest smoking prevalence (CICAD, 2009/2010). More than 70% of Chilean children, 14 years or younger, have smoked cigarettes, indicating that Chilean youth begin smoking at young ages (CICAD, 2009/2010).

Moreover, Chilean girls reported higher lifetime (71%) and past-month (35%) smoking than boys (65% and 30%, respectively). According to data from the Global Youth and Tobacco Survey (Center for Disease Control and Prevention, 2008), 66% of school-aged children in Santiago, Chile, had ever smoked cigarettes, and about 34% of all students were currently smoking cigarettes. These high rates of smoking indicate that many Chilean youth will be susceptible to transitioning to nicotine dependence and heavy smoking as well as the harmful consequences of smoking, such as tobacco-related disease and death (Prokhorov et al., 2006). Yet, only scant information is available about why Chilean youth smoke. Researchers have demonstrated a significant association of adolescents�� smoking-related attitudes with smoking and intentions to smoke (Barber et al.

, 2005; Epstein, Botvin, & Spoth, 2003; Ivanovic, Castro, & Ivanovic, 1997; Johnston, O��Malley, Bachman, & Schulenberg, 2010; Otten, Harakeh, Vermulst, Van, & Engels, 2007; Otten, Wanner, Vitaro, & Engels, 2008; Rhodes, Roskos-Ewoldsen, Edison, & Bradford, 2008). Smoking-related attitudes develop before youth smoke. For this reason, attitude change is often a focus of youth smoking preventions and interventions (Wang, Brefeldin_A Fitzhugh, Eddy, & Westerfield, 1996).

Specifically, a two-level model was fitted, where a level-1 submo

Specifically, a two-level model was fitted, where a level-1 submodel describes how each individual’s craving changed across 15 monitoring sessions over time and a level-2 selleck chemicals Imatinib Mesylate submodel relates interindividual differences in craving trajectories to predictors including individual genotypes, treatment, sex, the interaction of genotypes and treatment, the interaction of genotypes and sex, and other control personal variables such as age, FTND scores, and prequit craving levels. To obtain a more parsimonious representation from each multilevel model, level-2 fixed effect parameters that were not significant according to the single parameter hypothesis test (z-statistic but labeled as t ratio in HLM) or did not account for significant variance according to the model deviance statistic were removed sequentially from the initial model (for more details about this approach, see Supplementary Material and Gilbert et al.

, 2009). Because of statistical power limitations associated with the small sample size of the smoke group, we limited analysis at this step to the two abstinence groups (n = 129). Results Correlations between motivational measurements For each of the four categories of the SMOQ (cognitive enhancement, negative affect, pleasure, and weight control), subjects�� report of desire, probability, and motive for smoking was correlated at moderate to high levels (r = .56�C.87), indicating that desire, probability, and motive measure interrelated aspects of motivation to smoke. Overall, scores on the motive (reason) for smoking subscales of the SMOQ and similar measurements of the HWRSS were only modestly correlated.

There was a relatively high correlation (r = .37) between cognitive enhancement scores of the SMOQ and stimulation subscale scores of the HWRSS, suggesting that these two subscales capture on somewhat overlapping constructs. Cilengitide Similarly, ratings on the negative affect subscale of the SMOQ moderately correlated with the negative affect reduction subscale and the psychological addiction subscale of the HWRSS (r = .42 and .35, respectively). The latter could indicate a relatively closer association between smoking to cope with negative affect, among other reasons to smoke, and psychological addiction to smoking. As for craving measurements, prequit craving scores on the SWQ were modestly correlated with the four desire subscales on the SMOQ (r = .17�C.40). Among them, there was a relatively closer link between SWQ craving scores and desire for smoking as measured by the pleasure subscale of the SMOQ (r = .40). In short, these correlational results demonstrated that various measurements used in this study convergently measured both common and different motivations to smoke.

Compensation for participation and transportation was provided T

Compensation for participation and transportation was provided. To standardize exposure to nicotine and tobacco and reduce urges related to nicotine selleck chemical Idelalisib deprivation (e.g., Upadhyaya, Drobes, & Wang, 2006), eligible participants were asked to smoke a cigarette right before participation (Bordnick, Graap, Copp, Brooks, & Ferrer, 2005). Participants arrived at the laboratory between 9 a.m. and 6 p.m. on weekdays. They were randomly assigned to either the strong or the weak argument condition. In each condition, after baseline questions (including demographics, smoking history, and baseline smoking urge) were answered, sensors were attached to the participant to collect skin conductance and heart rate data during advertisement viewing. Participants watched three no-cue advertisements without answering any questions between or during the advertisements.

Each advertisement-viewing session had a 30-s to 45-s baseline time with blank screens before each advertisement started. After viewing the advertisements, participants completed the outcome measures including smoking urge and other attitudinal variables not analyzed in the present study. Psychophysiological responses were not collected while questions were answered. After participants finished this set of outcome measures and right before they watched smoking cue advertisements, their baseline smoking urge for smoking cue advertisements was measured. They then watched three smoking cue advertisements. The same psychophysiological data were recorded. After this advertisement-viewing period, all sensors were detached from the participants and the same set of outcome measures was collected.

Participants Data on four participants were excluded because sensors fell off two participants and the other two participants fell asleep during the study. A total of 96 participants finished the study. Mean participant age was 33 years (SD = 12); 54% were male. The majority of the participants were White (59%), followed by Black (24%), Hispanic (5%), and Asian (4%). On average, they smoked their first cigarette at the age of 15 (SD = 4), and smoked an average of 17 cigarettes per day (SD = 9) during the week prior to the study. Measures Smoking urge was measured with a five-item brief form of the Questionnaire of Smoking Urges (Cox, Tiffany, & Christen, 2001). The scale items ranged from strongly disagree (1) to strongly agree (7) (actual data ranging from 1.

6 to 6.8). Smoking GSK-3 urge was assessed four times in the study with high reliability (Cronbach’s �� = .84�C.90). The psychophysiological measures were collected with Biopac software. A difference score was calculated for each advertisement by subtracting 30-s baseline means from the corresponding advertisement viewing means for heart rate and skin conductance responses.

Unaffected participants were defined by FEV1, FVC, and FEV1/FVC a

Unaffected participants were defined by FEV1, FVC, and FEV1/FVC all above the lower limit of normal. www.selleckchem.com/products/Lenalidomide.html Individuals below the lower limit of normal for FEV1 or FEV1/FVC but not both were excluded from these analyses. Logistic regression models were adjusted for current and former smoking dummy variables, pack-years of smoking, age, sex, standing height, center/cohort as needed, and principal components for genetic ancestry as needed. Genome-wide imputation and analyses were performed by the cohort investigators, and results were shared for meta-analysis. Details of individual cohorts�� imputation and GWAS methods are provided in the online supplement text and Table E1 in the online supplement. Genome-wide and regional meta-analyses were performed using METAL software (22) with inverse variance weighting to combine effect size estimates after applying a genomic control correction (23).

Five discovery analyses were performed. GWAS were performed in (1) all cohorts with both ever and never smokers, (2) ever smokers, (3) never smokers, (4) asthma-free participants, and (5) the subset of more severe airflow obstruction with FEV1 less than 65% predicted (excluding milder cases from analysis). Never smoking GWAS were performed in eight cohorts. In the 10 cohorts that collected self-reported asthma data, an analysis was performed excluding all participants reporting a history of asthma with diagnosis before age 40 years or missing onset age. Regional Meta-analysis and Replication Two strategies were implemented for follow-up of top results.

In two regions with association signals spanning multiple genes in discovery meta-analyses, results across the whole region were requested from the replication studies, and combined meta-analyses were performed to refine the association signal. These regions were located on chromosome 6 (27,599,278�C32,787,304 bp) and chromosome 15 (76,499,754�C76,711,042 bp). In addition, 60 SNPs with P values less than or equal to 1 �� 10?5 in any of the five discovery meta-analyses were selected for replication. Combined meta-analysis was performed with the Family Heart Study (FamHS), which evaluated the same airflow obstruction phenotype as used in the discovery phase (331 affected and 2,550 unaffected). Replication was further evaluated in a meta-analysis of studies with clinically ascertained COPD (3,499 cases and 1,922 control subjects) (24).

Gene expression in lung tissues was evaluated for two genes on chromosome 15. Additional details are included in the online supplement. Results Descriptive characteristics of the 15 discovery cohorts are provided in Tables 1 and and2.2. Brefeldin_A The mean FEV1 % predicted for participants with airflow obstruction ranged from 48.9 to 68.7% across cohorts, and for unaffected participants the means were generally around 100%. The mean FEV1/FVC ratio ranged from 49.

However, Russell (1971) also posited that some smokers might be �

However, Russell (1971) also posited that some smokers might be ��peak seekers,�� who are motivated by the immediate acute effects of nicotine and thus would not have to smoke constantly. mostly Perhaps peak seeking better explains ITS smoking, though it is not known what pharmacological effects ITS seek or achieve when they smoke. Another factor that may help maintain ITS smoking in the absence of traditionally construed dependence based on trough maintenance is stimulus control of smoking. In analyses of chippers��very low-level smokers��we found that their smoking was under considerable stimulus control, tending to occur only in some settings but not others (Shiffman & Paty, 2006). The same might be true of ITS.

If so, these tight stimulus associations, along with acute effects of nicotine, could maintain intermittent smoking and make it hard to quit, in the presence of the triggering stimuli. Such stimulus control may constitute an alternate path to persistent smoking, absent traditional withdrawal-based dependence. It might even be considered an alternative form of dependence. The fact that ITS show some signs of dependence and have difficulty quitting may need to be considered as nicotine policy is formulated. Whereas it is reasonable to assume that lowering nicotine delivery will undermine dependence that is based on nicotine regulation (Benowitz & Henningfield, 1994), it is less clear what effect it would have on the factors that maintain ITS smoking and make quitting difficult for ITS.

In particular, our data do not speak to the role of nicotine in ITS smoking, much less what effects of nicotine may reinforce and maintain ITS smoking and what dose-response function may govern these effects. From a public health point of view, ITS behavior should be of some concern because ITS do suffer ill effects from smoking (Luoto, Uutela, & Puska, 2000); however, their exposure to toxins and their subsequent risk is much less than that of DS, so promoting a shift from daily to nondaily smoking would be a public health benefit. The data also shed light on different approaches to assessing dependence. All the methods tested for assessing dependence significantly discriminated DS and ITS, and almost all also discriminated NITS and CITS. However, the dichotomous classification based on the HONC was considerably less discriminating, as it regarded all DS as dependent, and also evaluated almost all ITS��both NITS and CITS��as dependent. Dacomitinib This is perhaps not surprising, as the HONC seems to emphasize sensitivity over specificity, regarding any single sign of dependence as sufficient to classify a smoker as dependent. In contrast, the other dependence measures consider dependence to vary continuously in severity, making finer discriminations.

TKKK, TGBC24TKB, and HuCCT1 were established from IHCC, and OZ wa

TKKK, TGBC24TKB, and HuCCT1 were established from IHCC, and OZ was from EHCC. MKN45 was a gastric cancer cell line that was used as a positive control, because of its high expression of c-Met and phospho-Met (Smolen et al, 2006). selleck All of the cell lines had been derived from Japanese patients. The originally established six CC cell lines, HuCCT1 and MKN45 were maintained in RPMI with 10% bovine serum. TGBC24TKB, TKKK, and OZ were maintained in Dulbecco’s modified Eagle medium with 10% bovine serum. Western blotting Subconfluent cells were lysed at 4��C for 30min using lysis buffer containing 10m Tris-HCl (pH 7.5), 1% Triton X-100, and 150m NaCl with a complete protease inhibitor cocktail (Roche, Basel, Switzerland) and a phosphate inhibitor cocktail (Nacalai Tesque, Kyoto, Japan).

The protein concentration was determined using a Bio-Rad protein assay kit (Bio-Rad Laboratories, Hercules, CA, USA). Lysates (5��g protein per well) were separated by SDS-PAGE, then transferred to polyvinylidene difluoride membranes (Millipore, Billerica, MA, USA). The membranes were blocked with 5% skim milk in PBS for 30min and then probed with the following primary antibodies: anti-c-Met (rabbit polyclonal; IBL; 1:1000), anti-phospho-Met (pY1234/1235, rabbit monoclonal, clone D26; Cell Signaling Technology, Danvers, MA, USA; 1:1000), anti-EGFR (mouse monoclonal, clone 31G7; Zymed, South San Francisco, CA, USA; 1:1000), and anti-phospho EGFR (pY1173, rabbit monoclonal, clone 53A5; Cell Signaling Technology) at 4��C overnight. After washing with PBS-Tween 20 (0.

5%), the membranes were re-blocked and then incubated at room temperature for 1h with horseradish peroxidase-conjugated goat anti-mouse or anti-rabbit antibody at a dilution of 1:1000. Following three washes, bands were visualised using the ECL Western Blotting Detection Reagents (GE Healthcare UK Ltd, Buckinghamshire, England). Anti-��-actin (mouse monoclonal; clone AC-15, Sigma, St Louis, MO, USA) was used as a loading control. Statistics Correlations between the results of IHC and clinicopathological factors were determined by Fisher’s exact probability test, except for histopathological classification, which was analysed by ��2-test. Cumulative survival rates and survival curves were calculated by the Kaplan�CMeier method, and log-rank test was performed for the comparison of survival curves between low and high groups defied by c-Met expression level.

The Cox proportional hazards model was used to estimate the hazard ratio and 95% confidence interval of each outcome (tumour death and recurrence). Multivariate analysis was performed for factors selected as risk factors by univariate analysis, except for UICC pT and UICC stage, which are composed of other factors. Cilengitide Correlations between the intensity of c-Met and that of EGFR in IHC or Western blotting were determined by Spearman’s rank correlation. Statistical analysis was done using the Statview 5.