A novel 3D FE model with multiple randomly distributed shots was

A novel 3D FE model with multiple randomly distributed shots was developed combining a Matlab program with the ANSYS preprocessor. The explicit solver LS-DYNA has been used to simulate the dynamic impingement process. Several potential applications of this novel model such as: the quantitative relationship of the peening intensity, coverage and roughness with respect to the number of shots have been presented. Moreover, simulations with multiple oblique impacts have been carried out in order to compare with results from normal impingements. Our work shows that such a computing strategy can help understanding and predicting the shot peening results better than conventional FE simulations. (C) 2009

Elsevier Ltd. All rights reserved.”
“Methylmercury Selleckchem Belnacasan (MeHg) is a persistent environmental GSK690693 in vivo toxin present in seafood that can compromise the developing nervous system in humans. The effects

of MeHg toxicity varies among individuals, despite similar levels of exposure, indicating that genetic differences contribute to MeHg susceptibility. To examine how genetic variation impacts MeHg tolerance, we assessed developmental tolerance to MeHg using the sequenced, inbred lines of the Drosophila melanogaster Genetic Reference Panel (DGRP). We found significant genetic variation in the effects of MeHg on development, measured by eclosion rate, giving a broad sense heritability of 0.86. To investigate the influence of dietary factors, we measured MeHg toxicity with caffeine supplementation

in the DGRP lines. We found that caffeine counteracts the deleterious effects of MeHg in the majority of lines, and there is significant genetic variance in the magnitude of this effect, with a broad sense heritability of 0.80. We performed genome-wide association (GWA) analysis for both traits, and identified candidate genes that fall into several gene ontology categories, with enrichment for genes involved in muscle Etomoxir concentration and neuromuscular development. Overexpression of glutamate-cysteine ligase, a MeHg protective enzyme, in a muscle-specific manner leads to a robust rescue of eclosion of flies reared on MeHg food. Conversely, mutations in kirre, a pivotal myogenic gene identified in our GWA analyses, modulate tolerance to MeHg during development in accordance with kirre expression levels. Finally, we observe disruptions of indirect flight muscle morphogenesis in MeHg-exposed pupae. Since the pathways for muscle development are evolutionarily conserved, it is likely that the effects of MeHg observed in Drosophila can be generalized across phyla, implicating muscle as an additional hitherto unrecognized target for MeHg toxicity. Furthermore, our observations that caffeine can ameliorate the toxic effects of MeHg show that nutritional factors and dietary manipulations may offer protection against the deleterious effects of MeHg exposure.

Among the

members of this prohormone convertase family, N

Among the

members of this prohormone convertase family, Neuroendocrine Convertase-2 (NEC-2) is regarded as one of the important proteins involved in the maturation of many precursor proteins. Being widely distributed in the neuroendocrine cells, these proteins play a vital role in causing malignant gliomas. They can serve as important drug targets in the treatment of cancers. In the present study, a 3D model of NEC-2 was generated using homology modeling. The model was optimized by a brief energy minimization in CHARMM and dynamics simulation of 250ps in MOE. The validation results of PROCHECK and Profile 3D show that the stereochemical quality of the model is good. The C alpha backbone of the template and the target (NEC-2) when superimposed showed RMSD of 0.39

angstrom. The model showed Asp51, His92 and Ser268 in the mTOR inhibitor active site as seen in most of the PC2 members. The NEC-2 structure differs from that of furin at the catalytic pocket region with relevance to the amino acid composition which can be exploited for the design of specific inhibitors towards NEC-2.”
“Purpose: The Raine Eye Health Study (REHS) was conceived to determine the prevalence of and risk factors for eye disease in young adults, and to characterize ocular biometric parameters in a young adult cohort. This article summarizes KU-57788 inhibitor the rationale and study design of REHS and outlines the baseline prevalence of ophthalmic disease in this population.\n\nMethods: The Western Australian Pregnancy Cohort (Raine) Study originated as a randomized-controlled trial of 2900 women recruited from the state’s largest maternity hospital. Their offspring (N = 2868) have been followed at birth, ages 1, 2, 3, 5, 8, 10, 14, 17 and 20 years of age in a prospective cohort study. DNA has been collected from participants for genome-wide association studies. At the 20-year follow-up participants completed a comprehensive eye assessment that included visual acuity, orthoptic assessment and cycloplegic autorefraction, as well as several ocular biometric variables and multiple ophthalmic photographs of the anterior and posterior segments.\n\nResults: A total of 1344 participants

(51.3% male) were assessed over a 24-month period. For the majority of examined participants (85.5%) both parents were Caucasian, learn more 63.3% had completed school year 12 or equivalent, 5.5% had myopia (spherical equivalent <=-3 diopters) and 15 participants (1.2%) had unilateral or bilateral pterygia. Keratoconus, cataract, keratitis and uveitis were rare.\n\nConclusion: The REHS design and methodology allow comparison with other population-based studies of eye disease. The study established the prevalence of eye disorders in a large sample of predominantly Caucasian young Australian adults.”
“Pasteurellosis is one of the most prevalent diseases of sheep, but the involvement of Pasteurellae in genital pathology of rams has been described rarely.

For DL323 E coli grown in C-13-2-glycerol without labeled

For DL323 E. coli grown in C-13-2-glycerol without labeled

formate, all the ribose carbon atoms are labeled except the C3′ and C5′ carbon positions. Consequently the C1′, C2′ and C4′ positions remain singlet. In addition, only the pyrimidine base C6 atoms are substantially labeled to similar to 96% whereas the C2 and C8 atoms of purine are labeled to similar to 5%. Supplementing TPCA-1 cost the growth media with C-13-formate increases the labeling at C8 to similar to 88%, but not C2. Not unexpectedly, addition of exogenous formate is unnecessary for attaining the high enrichment levels of similar to 88% for the C2 and C8 purine positions in a C-13-1,3-glycerol based growth. Furthermore, the ribose ring is labeled in all but the C4′ carbon position, such that the C2′ and C3′ positions suffer

from multiplet splitting but the C5′ position remains singlet and the C1′ position shows a small amount of residual C1′aEuro”C2′ coupling. As expected, all the protonated base atoms, except C6, are labeled to similar to 90%. In addition, labeling with C-13-1,3-glycerol affords an isolated methylene ribose with high enrichment at the C5′ position (similar to 90%) that makes it particularly attractive for NMR applications involving CH2-TROSY modules without the need for decoupling the C4′ carbon. To simulate the tumbling of large RNA molecules, perdeuterated glycerol was added to a mixture of the four nucleotides, and the methylene TROSY experiment recorded at various temperatures. Even under conditions of slow tumbling, all the expected carbon correlations WH-4-023 supplier were observed, which indicates this approach of using nucleotides obtained from DL323 E. coli will be applicable to high molecular weight RNA systems.”
“A perfectly matched layer (PML) is useful for PD98059 cost truncating the computation region of scattering problems in a finite element analysis (FEA). The approximation of the

open region with thick layer and discretization of it with finite elements generates reflection waves from PML boundary. However, reflection powers generated by finite element discretization have not been quantified for elastic waves. In this paper, we explain the reflection from PMLs by discretized wave number analysis of elastic plane-wave scattering, and demonstrate that the results of discretized wave number analysis give satisfactory approximations of FEA. (C) 2011 The Japan Society of Applied Physics”
“We analyze the case of a patient with intermittent episodes of lower gastrointestinal bleeding and suspected Meckel’s diverticulum, whose presence was confirmed by Tc-99m-pertechnetate scintigraphy. A previous exploratory laparotomy had been performed without finding the diverticulum. In spite of years of medical treatment, the patient presented a new episode of lower gastrointestinal bleeding with normal colonoscopy.

Arrow cues were also employed to determine whether any compromise

Arrow cues were also employed to determine whether any compromise in schizophrenia, if present, was gaze-specific. Results demonstrated that schizophrenic subjects benefit significantly

less from congruent cues than normal subjects, which was evident for gaze cues but not for arrow cues. This finding is suggestive of a relatively gaze-specific hyposensitivity in patients with chronic schizophrenia, a finding that is in line with their clinical symptomatology and that may be associated with a hypoactive STS. (C) 2006 Elsevier Ireland Ltd. All rights reserved.”
“Recent advances in placebo research Selleck Citarinostat have demonstrated the mind’s power to alter physiology. In this study, we combined an expectancy manipulation model with both verum and sham acupuncture treatments to address: 1) how and to what extent treatment and expectancy effects – including both subjective HIF inhibitor pain intensity levels (pain sensory ratings) and objective physiological activations (fMRI) – interact; and 2) if the underlying mechanism of expectancy remains the same whether placebo treatment is given alone or in conjunction with active treatment. The results indicate that although verum acupuncture+high expectation and sham acupuncture+high expectation induced subjective reports

of analgesia of equal magnitude, fMRI analysis showed that verum acupuncture produced greater fMRI signal decrease in pain related brain regions during application of calibrated heat pain stimuli on the right arm. We believe our study provides brain imaging evidence for the existence of different mechanisms underlying acupuncture analgesia and expectancy evoked placebo analgesia. Our results also suggest that the brain network involved in expectancy may vary under different treatment situations (verum and sham acupuncture treatment). (c) 2008 Elsevier Inc. All rights reserved.”
“ObjectivesImplant surface topography is a key determinant affecting osteoblastic differentiation and cell-cell signaling of implant-adherent cells. Materials and methodsTo

assess the early osteoinductive and cell-cell signaling events in adherent cells, commercially pure TPX-0005 inhibitor titanium implants (2.2x5mm) with nanotopography (HF-treated TiO2 grit-blasted) were compared with micron-scale topography TiO2 grit-blasted (micron-scale, control) implants in vivo. Six implants (n=3/surface) were placed in 10 systemically healthy subjects and removed by reverse threading at 1, 3, and 7days. Gene expression profiles of adherent cells were interrogated using low-density RT-PCR arrays. ResultsOsteoinduction was not observed at day 1 on either surface. At 3days, elevated levels of BMP6, osteopontin, and osterix (OSX) were observed in RNA of cells adherent to both micron-scale and nanotopography surfaces.

For electron and megavoltage photon beams, Spencer-Attix cavity t

For electron and megavoltage photon beams, Spencer-Attix cavity theory further adapted by Nahum remains the accepted standard selleck method used to convert absorbed dose in a wall-less detector to absorbed dose in the medium of interest. For several decades, the approach has been widely used in protocols to generate data for ionization chamber dosimetry. As a considerable effort was made towards accurate Monte Carlo methods,

computation techniques are nowadays available to determine absorbed dose accurately in complex geometries, including radiation detectors. In the development of nonstandard beam protocols, direct Monte Carlo dose calculations using realistic models are being suggested and used to generate data for ionization chamber dosimetry. This indicates that for a general dosimetric context, including nonstandard beams, a more general cavity theory in agreement with what is currently being done could be adopted. Not only this could be of interest in the dosimetry standards community, but also for educational purposes. This paper re-examines Spencer-Attix theory from first principles, using a new general cavity theory rigorously derived from radiation transport equations. The approach is based on the same schematization as for Spencer-Attix’s (i.e. groups of slow and fast electrons) and yields a general expression of

absorbed dose for suitably implemented Monte Carlo methods. The Spencer-Attix-Nahum formulation is shown to PD0332991 nmr be a special case of the

presented model, outlining specific issues of the standard method. By providing an expression of absorbed dose which reflects the gold standard calculation method (i.e. Monte Carlo), the proposed theory could be adopted by the radiation dosimetry community.”
“The potential antiproliferative effects of low power millimeter waves (MMWs) at 42.20 and 53.57 GHz on RPMI 7932 human skin melanoma cells were evaluated in vitro in order to ascertain if these two frequencies, comprised in the range of frequency used in millimeter wave therapy, would have a similar effect when applied in vivo to malignant melanoma tumours. Cells were exposed for 1 h exposure/day selleck inhibitor and to repeated exposure up to a total of four treatments. Plane wave incident power densities < 1 mW/cm(2) were used in the MMWs-exposure experiments so that the radiations did not cause significant thermal effects. Numerical simulations of Petri dish reflectivity were made using the equations for the reflection coefficient of a multilayered system. Such analysis showed that the power densities transmitted into the aqueous samples were a parts per thousand currency sign0.3 mW/cm(2). Two very important and general biological endpoints were evaluated in order to study the response of melanoma cells to these radiations, i.e. cell proliferation and cell cycle.

It is also associated with a positive attitude change, congruent

It is also associated with a positive attitude change, congruent with learning about the relevance of patient-doctor relationship within a cross-cultural setting.”
“Purpose: To develop a practical method to localize bones in magnetic resonance (MR) images, to create “computed tomographye-like” MR images (ctMRI) that could be used for radiation therapy verification, and to generate MR-based digitally reconstructed radiographs (DRR). Methods and

Materials: Using T1-weighted MR images, an air mask was derived from the manual contouring of all airways within the head and neck region Ulixertinib purchase using axial images at 6 anatomic levels. Compact bone, spongy bone, and soft tissue masks were then automatically generated using the statistical data derived from MR intensities and the air mask. ctMRI were then generated by mapping the MR intensities of the voxels within these masks into the

CT number ranges of corresponding tissues. MR-based DRRs created from ctMRI were quantitatively evaluated using the co-registered MR and CT head images of 20 stereotactic Ruboxistaurin mw radiosurgery patients. Ten anatomical points, positioned on the skull segmented using a threshold of 300 HU, in CT and ctMRI, were used to determine the differences in distance between MR-based DRRs and CT-based DRRs, and to evaluate the geometric accuracy of ctMRI and MR-based DRRs. Results: The bony structures were identified on ctMRI and were visible in the MR-based DRRs. From the 20 patient cases, the mean geometric difference and standard deviation between the 10 anatomical points on MR-based and CT-based DRRs was -0.05 +/- 0.85 mm, respectively. This included uncertainty in image fusion. The maximum distance difference was 1.88 mm. Conclusions: A practical method was developed to segment bone NSC23766 manufacturer from MR images. The ctMRI created can be used for radiation treatment verification

when MR-only simulation is performed. MR-based DRRs can be used in place of CT-based DRRs. (c) 2014 Elsevier inc.”
“The biological and social transmission of attitudes toward abortion and gay rights are analyzed in a large sample of adult twins, siblings, and their parents. We present a linear model for family resemblance allowing for both genetic and cultural transmission of attitudes from parents to offspring, as well as phenotypic assortative mating (the tendency to marry like) and other environmental sources of twin and sibling resemblance that do not depend on the attitudes of their parents. The model gives a close fit to the patterns of similarity between relatives for the two items. Results are consistent with a substantial role of genetic liability in the transmission of both attitudes. Contrary to the dominant paradigm of the social and political sciences, the kinship data are consistent with a relatively minor non-genetic impact of parental attitudes on the development of adult attitudes in their children.

Arsenic accumulation, tolerance,

uptake influx, and phyto

Arsenic accumulation, tolerance,

uptake influx, and phytofiltration ability of the five willow species were examined under hydroponic conditions in a glasshouse. Short-term exposure (2 weeks) to solutions containing 80 mu mol L-1 arsenate (As(V)), resulted in significant accumulation of As in all willow species. selleck inhibitor Arsenic concentration in plant roots ranged from 322 mg kg(-1) dry weight (DW) for S. matsudana to 604 mg kg(-1) (DW) for S. integra Yizhibi. S. integra Yizhibi decreased As(V) concentration in water from 3.87 to 1.89 mu mol L-1 (290 to 142 mu g L-1) over 168 h, which is 50 % of the total As(V) in the solution. The results suggested that even though Asian willow was not a traditional aquatic species, it still had significant potential for phytofiltration of As from contaminated waters. Of the five willow species studied, S. integra Yizhibi had the greatest capacity to remove As from As-contaminated waters. Thus, Asian willow has significant potential for the phytofiltration of As and may also be suitable for practical phytoremediation of https://www.selleckchem.com/products/citarinostat-acy-241.html As in highly water-logged areas.”
“Mature (peripheral)

T-cell lymphoma (PTCL) other than anaplastic large cell lymphoma is a heterogeneous group of diseases and exceedingly rare in children and adolescents. Survival rates range between 46% and 85%. This study reports the disease characteristics, treatment and outcome of all patients with the diagnosis of mature TCL registered

in the Berlin-Frankfurt-Munster non-Hodgkin lymphoma database between 1986 and 2012. All diagnoses were centrally reviewed and revised by clinico-pathological correlation according to the criteria of the current World Health Organization classification. Of the 69 patients originally registered as having Selleck Crenigacestat PTCL, the diagnosis was confirmed in 38 of them. Most patients were treated with an anaplastic large cell lymphoma (ALCL)-like therapy regimen. Patients with PTCL-not otherwise specified comprised the largest group and showed a 5-year event-free survival rate of 61 +/- 11%. Patients suffering from Natural Killer/T-cell- and hepatosplenic TCL had the poorest outcome. Our results suggest that the outcomes of children with mature TCL other than ALCL depend on the subtype and are worse than in all other paediatric lymphomas. The clinical experience presented in this largest study on paediatric mature TCL may serve as basis for future collaborative international prospective clinical trials.”
“Three design strategies, based on rational and semi-rational approaches, were employed to investigate the functional impact of thermostability-related amino acid substitutions in the beta-glycosidase BglY from Thermus thermophilus.

By visual simulation, we analyzed the erosion wear distribution a

By visual simulation, we analyzed the erosion wear distribution and erosion wear rate under different contaminated oil conditions and working missions. Furthermore, degradation models of performance characteristic were built according to degradation trends of system performance under different erosive wear stages. Finally, the assessment results show that: (1) Hydraulic oil with contaminant particles will distinctly erode the sharp edges of valve bushing and spool. Besides, the erosion rate depends on valve structure and port opening size. (2) Wear at sharp edges of spool valve influences pressure gain, null

leakage flow and lap. Furthermore, these performance indicators selleck inhibitor are monotonically degraded. With the definition of failure for the EHSV, the service life is 9000 missions by our simple mission profile. (C) 2013 Elsevier Ltd. All rights reserved.”
“A palladacyclic precatalyst is employed to cleanly generate a highly active XantPhos-ligated Pd-catalyst.

Its use in low temperature aminocarbonylations of (hetero)aryl bromides provides access to a range of challenging products in good to excellent yields with low catalyst loading and only a slight excess of CO. Some products are unattainable by traditional carbonylative coupling.”
“The antimutagenic activity of eight novel imidazo[1,2-a]pyridine derivatives against sodium azide (NaN3) and benzo[a]pyrene (B[a]P) was evaluated using the Salmonella reverse mutation Transmembrane Transporters inhibitor assay. At nontoxic concentrations (12.5-50 mu M), imidazopyridines I, II, Ill, P5091 molecular weight and V with a terminal imidazopyridine group were mutagenic, while derivatives VII and VIII with a central imidazopyridine group were not mutagenic. Compounds IV, VII, and VIII exerted a moderate antimutagenic activity against NaN3 under pre-exposure conditions, and a strong activity (> 40%) against B[a]P in the presence of 59 under both pre- and co-exposure conditions and mostly independent on the close. Imidazopyridines

possibly inhibited the microsomal-dependent activation of B[a]P. The demethylated derivative VII was the most active antimutagen. All imidazopyridines had a low to moderate antioxidant activity. The antibacterial activity of imidazopyridines was sporadic and moderate probably clue to the failure of bacteria to convert imidazopyridines into active metabolites. The position of imidazopyridine was a pivotal factor in the mutagenic/antimutagenic activity. The strong antimutagenic compounds were dicationic planar compounds with a centered imidazo[1,2-a]pyridine spacer. With LD50 of 60 mg/kg in mice for both derivatives VII and VIII, it is safe to investigate the anticancer activity of these derivatives in animal models. (C) 2013 Elsevier B.V. All rights reserved.”
“Background: The role of rescue breathing in cardiopulmonary resuscitation (CPR) performed by a layperson is uncertain.

In modern Gram-negative bacteria, the C-terminal signature sequen

In modern Gram-negative bacteria, the C-terminal signature sequence of OMPs is required for binding to an Omp85 family LY2090314 research buy protein as a prerequisite for its assembly. We present hints that a similar assembly pathway exists in T. thermophilus by an in vitro binding assay, where unfolded TtoA binds to the Thermus Omp85 family protein TtOmp85, while a mutant without the signature sequence does not. (C) 2008 Elsevier Ltd. All rights reserved.”
“Imaging, optical mapping, and optical multisite recording of transmembrane potential (V-m) are essential for studying excitable cells and systems. The naphthylstyryl voltage-sensitive

dyes, including di-8-ANEPPS, shift both their fluorescence excitation and emission spectra upon changes in V-m. Accordingly, they have been used for monitoring V-m in nonratioing and both emission and excitation ratioing modes. Their changes in fluorescence are usually much less than 10% per 100 mV. Conventional ratioing increases sensitivity to between 3 and 15% per 100 mV. Low sensitivity limits the value of these dyes, especially when imaged with low light systems like confocal scanners. Here we demonstrate the improvement afforded by shifted excitation and emission ratioing (SEER) as applied to imaging membrane potential in flexor digitorum brevis muscle fibers of adult mice. SEER-the ratioing of two images of fluorescence, obtained

PI3K inhibitor with different excitation wavelengths in different emission bands-was implemented in two commercial confocal systems. A conventional pinhole scanner, affording optimal setting of emission bands but less than ideal excitation wavelengths,

achieved a sensitivity of up to 27% per 100 mV, nearly doubling the value found by conventional ratioing of the same data. A better pair of excitation lights should increase the sensitivity further, to 35% per 100 mV. The maximum acquisition rate with this system was 1 kHz. A fast “slit scanner” increased the effective rate to 8 kHz, but sensitivity ACY-738 supplier was lower. In its high-sensitivity implementation, the technique demonstrated progressive deterioration of action potentials upon fatiguing tetani induced by stimulation patterns at >40 Hz, thereby identifying action potential decay as a contributor to fatigue onset. Using the fast implementation, we could image for the first time an action potential simultaneously at multiple locations along the t-tubule system. These images resolved the radially varying lag associated with propagation at a finite velocity.”
“A prolific plant regeneration system using scalps derived from shoot tips of Musa spp. cv. Tanduk was developed. Highly proliferating scalps, produced after four monthly subcultures of shoot tip explant on Murashige and Skoog (MS) medium supplemented with 100 mu M BAP and 1.0 mu M IAA, were placed on MS basal medium supplemented with 1.0, 2.5 and 5.0 mu M BAP.

5, 2 5, 50, 100, 250, and 500 mu M), and A77 1726 (1, 5, 10, 25,

5, 2.5, 50, 100, 250, and 500 mu M), and A77 1726 (1, 5, 10, 25, 50, and 200 mu M). After incubation, the lymphocytes were labeled with propidium iodide and an antibody against canine CD5, a pan T-cell surface marker. Flow cytometry determined the percentage of live, proliferating T-lymphocytes incubated with or without immunosuppressants. The mean (+/- standard error) IC50 was 3460 +/- 1900 mu M for dexamethasone,

15.8 +/- 2.3 ng/mL for cyclosporine, 1.3 +/- 0.4 mu M for 6-mercaptopurine, and 55.6 +/- 22.0 mu M for A77 1722. Inhibition of T-cell proliferation by the 4 immunosuppressants was demonstrated in a concentration-dependent manner, with variability between the dogs. These results represent the initial steps

to tailor this assay for individual immunosuppressant protocols for dogs with immune-mediated disease.”
“Sexually selected selleck kinase inhibitor ornaments and signals are costly to maintain if they are maladaptive in nonreproductive contexts. The jumping spider Cosmophasis umbratica exhibits distinct sexual dichromatism with males displaying elaborate UV body markings that signal male quality. Female C.umbratica respond favorably to UV-reflecting males and ignore males that have their UV masked. However, Portia labiata, a UV-sensitive spider-eating specialist and a natural predator of C.umbratica, is known to use UV reflectance as a cue Selleckchem AZD5582 when hunting prey. We investigated the cost of these UV signals in C.umbratica in terms of their predation risk. Under experimental conditions, three choice scenarios were presented to P.labiata individuals. Choices by P.labiata were made between male C.umbratica with and without the UV signal; a UV-reflecting male and non-UV-reflecting female; and a UV-masked male and female. The presence and absence of UV signals was manipulated using an optical selleck screening library filter. Portia labiata exhibited a strong bias toward UV+ individuals. These results suggest the sexually selected trait of UV reflectance increases the visibility of males to UV-sensitive predators. The extent of this male-specific UV signal then is potentially moderated by predation pressure. Interestingly though, P.labiata still preferred males

to females irrespective of whether UV reflectance was present or not. This suggests P.labiata can switch cues when conditions to detect UV reflectance are not optimal.”
“BACKGROUND: Gastroschisis is a newborn anomaly requiring emergent surgical intervention. We review our experience with gastroschisis to examine trends in contemporary surgical management. METHODS: Infants who underwent initial surgical management of gastroschisis from 1996 to 2014 at a pediatric hospital were reviewed. Closure techniques included primary fascial repair using suture or sutureless umbilical closure, and staged repair using sutured or spring-loaded silo (SLS). Data were separated into 3 clinical eras: pre-SLS (1996 to 2004), SLS (2005 to 2008), and umbilical closure (2009 to 2014).