Of the 96 medical specialists in General Surgery, respondents in

Of the 96 medical specialists in General Surgery, respondents in the first period 30 (31.25%) were unaware of an official list of names of anatomical structures and 66 (68.75%) knew of its existence. Of these, 66 were aware of an official list, 60 (90.91%) presented difficulties in naming the listing and 6 (9.09%) correctly enunciated the IAT. Of the 92 medical specialists in General Surgery respondents in the second period, 9 (9.78%) were unaware of an official list of names of anatomical structures and 83 (90.22%) knew of its existence. By questioning the 83 on the official name of the

listing of names of anatomical structures, 32 (38.55%) had difficulty naming the listing and 51 (61.45%) correctly named the AIT. In reference to General Surgery, we have seen that in time the number of medical www.selleckchem.com/products/nu7441.html specialists who learned of the existence of an official list of names of anatomical structures, has increased. Furthermore, they have also begun to implement the International Anatomical Terminology as the official source of anatomical terms, however, a majority still remains who are unaware of its existence. It is therefore, necessary to work in this area, Barasertib nmr in order to encourage and achieve permanent update, unify terms and facilitate teaching and learning. It is also important to avoid

confusion in scientific communication between different parts of the world and among specialists of different age groups and groups of different graduating years. It is those who specialize in morphological disciplines as well as those who apply them in everyday activities who are responsible for disseminating the information.”
“In this study, we investigated the effect of manufacturing factors such as particle size, water content and manufacturing method on the physical stability and solubility of solid dispersion formulations of a low-glass-transition-temperature (T-g) drug. Solid

dispersions were prepared from polyvinylpyrrolidone ABT-263 nmr (PVP) and hydroxypropylmethylcellulose (HPMC) by hot melt extrusion or spray drying. Water content of solid dispersions prepared by hot melt extrusion determined by dynamic moisture sorption measurement was increased drastically with relative humidity below a certain level of particle size. The blends with a lower water content (0.8%) prepared by hot melt extrusion during storage were more stable than those with a higher water content (3.5%) prepared by spray drying, which caused rapid recrystallization. Physical stability in the hot melt blends may be attributed to reduced molecular mobility due to a higher T-g. Dissolution study revealed that solid dispersions prepared by hot melt extrusion with the smallest particle size showed decreased solubility, attributed to reduced wetting properties (surface energy), which is not predictable by the Noyes-Whitney equation.

When an alcohol fuel was used with potassium hydroxide added to t

When an alcohol fuel was used with potassium hydroxide added to the fuel stream and oxygen was the oxidant, the following maximum power densities were achieved at 60 degrees C: ethanol (128 mW cm(-2)), 1-propanol (101 mW cm(-2)), 2-propanol (40 mW cm(-2)), ethylene glycol (117 mW cm(-2)), glycerol (78 mW cm(-2)), and propylene glycol (75 mW cm(-2)). We also observed a maximum power

density of 302 mW cm(-2) when potassium formate was used as the fuel under the same conditions. However, when potassium hydroxide was removed from the fuel stream, the maximum power density with ethanol decreased to 9 mW cm(-2) (using oxygen as oxidant), while with formate it only decreased to 120 mW cm(-2) (using air as the oxidant). Variations in the performance of each fuel are discussed. This fuel-flexible fuel cell configuration is promising selleck compound for a number of alcohol fuels. It is especially promising with potassium formate, since it does not require hydroxide added to the fuel stream for efficient operation.”
“Mahonia is an important medicinal plant used for the treatment of human diseases. To explore the molecular mechanism’s underlying the different pharmacological functions of Mahonia, organ-specific proteomics was performed. Protein profiles of leaves, stems, and roots from 2-year-old Mahonia plants were determined using gel-free/label-free

INCB024360 proteomic technique, and totals of 304, 314, and 182 proteins were identified, respectively, and included 36 common proteins. In leaves, the most abundant proteins related to photosynthesis. Furthermore, polyethylene glycol fractionation was used to identify low-abundance proteins in leaves. With this approach, oxidative pentose phosphate-related proteins were identified in leaves. In stems, the main functional categories of proteins were protein synthesis and redox ascorbate/glutathione metabolism. In roots, proteins were mainly related to protein synthesis, stress, and amino acid metabolism. Of the proteins identified, the abundance of calreticulin was markedly higher in roots than that Selleckchem SBE-β-CD detected in stems and leaves. Many roots-specific proteins, including

S-adenosylmethionine synthetase and (S)-tetrahydroprotoberberine oxidase, involved in the biosynthesis of alkaloids, were identified. Consistent with this finding, levels of the alkaloids, which were columbamine, jatrorrhizine, palmatine, tetrandrine, and berberine, were markedly higher in roots compared to those detected in stems and leaves. Taken together, these results suggest that alkaloid biosynthesis is an important function in Mahonia roots.”
“Background: Mental disorders are the main reasons for rising proportions of premature pension in most high-income countries. Although inpatient medical rehabilitation has increasingly targeted work-related stress, there is still a lack of studies on the transfer of work-specific interventions into work contexts.


“Determining targets in forest restoration is a complicate


“Determining targets in forest restoration is a complicated task that can be facilitated by cooperative partnerships. Too often restoration plans are implemented after adverse events that cause widespread tree mortality, such as drought or insect outbreaks, have occurred. Reactive management precludes the use of preemptive management techniques that can result in more effective restoration. The potential recognition and risks associated with a large-scale mortality event cultivated a proactive partnership among managers, stakeholders,

check details and researchers on the Daniel Boone National Forest in Kentucky. This partnership resulted in the development of innovative proactive approaches to mitigate the negative impacts of threat of declining forest health, thus reducing the need for untested and expensive postdisturbance restorative operations. The partnership comprised four Research Work Units in the USDA Forest Service (including the Northern and Southern Research Stations), three selleck kinase inhibitor universities (one land grant and two liberal arts), two natural resource state agencies, private logging contractors, an electrical utility,

and National Forest system personnel at the district, forest supervisor, and Washington office levels. We tested forest management prescriptions designed to meet targets for future forest conditions. The goal of the silviculture treatments was to improve forest health and productivity to increase resilience to and/or avoidance of exotic Raf inhibitor invasive insect defoliation and oak decline. Treatments varied from high levels of disturbance to low levels of disturbance and ranged from even-aged regeneration treatments coupled with prescribed burning to thinning. Research assessed the alteration in species composition and stand structure, the projected regeneration outcomes and the costs and operational efficacy of mechanized forest operations used to implement

the treatments. The relatively large scale of the study and diversity of treatments has afforded additional multidisciplinary research activities. Via partnership building and information and technology sharing, this project has been sustained for 10 years.”
“Ultrasonic technologies offer the potential for high accuracy and resolution in-pile measurement of numerous parameters, including geometry changes, temperature, crack initiation and growth, gas pressure and composition, and microstructural changes. Many Department of Energy-Office of Nuclear Energy (DOE-NE) programs are exploring the use of ultrasonic technologies to provide enhanced sensors for in-pile instrumentation during irradiation testing.

Considering clinical flexibility, ” Lac = -0 259 + v-Lac x 0 996″

Considering clinical flexibility, ” Lac = -0.259 + v-Lac x 0.996″ might be more useful while avoiding a time-consuming and invasive procedure. (C) 2013 Elsevier Inc. All rights reserved.”
“Introduction: Bilateral femoral shaft fractures have been reported Selleck BGJ398 to be an independent risk factor for morbidity and mortality; however, the value of these studies is limited due to small sample sizes and the timing of these studies before the establishment of damage control orthopaedics. The objective of this study was to compare the incidence of morbidity and mortality in patients with bilateral

vs. unilateral femoral shaft fractures in the era of damage control orthopaedics.\n\nMethods: Retrospective analysis of the TraumaRegister DGU from 2002 to 2005. Inclusion criteria were uni- or bilateral femoral shaft fractures and complete demographic data documentation. Univariate data analysis and logistic regression analysis PND-1186 mouse were performed with SPSS.\n\nResults: Between 2002 and 2005, 776 patients with unilateral and 118 patients with bilateral femoral shaft fractures were identified. Patients with bilateral femoral shaft fractures had a significantly higher Injury Severity Score (ISS) (29.5 vs. 25.7 points), a significantly higher incidence of pulmonary (34.7% vs. 20.6%)

and multiple organ failure (25.0% vs. 14.6%) as well as a significantly higher mortality rate (16.9% vs. 9.4%). In the overall patient population, early total care (ETC) was significantly more often performed in patients with unilateral femoral shaft fractures (50.9% vs. 33.6%). Logistic regression analysis revealed no significant association between bilateral femoral shaft fractures and

multiple organ failure or mortality; however, bilateral femoral shaft fractures are an independent risk factor for pulmonary failure. Subgroup analysis revealed that the impact of the bilateral femoral shaft fracture was especially pronounced in patients with an ISS < 25 points.\n\nDiscussion: Bilateral femoral shaft fractures are an independent risk factor for pulmonary failure but not for multiple organ Small molecule library failure or mortality. The impact of the additional femoral shaft fracture for pulmonary failure appears to be especially pronounced in the less severely injured patients, whose injuries are often underestimated when stratified with the ISS. Patients with bilateral femoral shaft fractures have significantly more often severe abdominal injuries as well as severe blood loss which may account for the increased mortality rate. Therefore, the presence of bilateral femoral shaft fractures should be recognised as an increased risk for systemic complications. (C) 2012 Elsevier Ltd. All rights reserved.”
“The association between renal dysplasia and minor malformations of the external ear is weak. However, there is a remarkable list of syndromes that link the kidney to the inner ear.

Taken together, IPD-196 exhibited its anticancer activity through

Taken together, IPD-196 exhibited its anticancer activity through disruption of the PI3K/Akt pathway that caused cell cycle arrest, apoptosis induction, and inhibition of angiogenesis in human HCC cells. We therefore suggest that IPD-196 may be a potential candidate drug for targeted HCC therapy.

Crown Copyright (c) 2012 Published by Elsevier Ireland Ltd. All rights reserved.”
“NBS1 gene plays an important role in DNA repair. Many epidemiological studies have investigated the association between NBS1 8360G > C polymorphism and breast cancer, however, the results are still controversial. Therefore, we performed a meta-analysis of 10 case-control studies. Crude odds ratios (ORs) PD98059 molecular weight with 95% confidence intervals (CIs) were used to assess the strength of the association. The results showed NBS1 8360G > C polymorphism contributed to breast risk in overall populations (for CC vs. GG: OR = 0.75, 95% CI Taselisib datasheet = 0.74-0.98, P = 0.13 for heterogeneity; for the recessive model CC vs. GG/CG: OR = 0.88, 95% CI = 0.77-1.00, P = 0.44 for heterogeneity). In subgroup analysis by ethnicity, no significant association was found in all genetic models. In summary, our meta-analysis strongly suggests the NBS1 8360G > C polymorphism is associated with breast cancer.”
“Here we report on a method to

track individual molecules on nanometer length and microsecond timescales using an optical microscope. Our method is based on double-labeling of a molecule with two spectrally distinct fluorophores and illuminating it with laser pulses of different wavelengths that partially overlap temporally. We demonstrate our method by using it to resolve the motion of short DNA oligomers in solution down to a timescale of 100 mu S.”
“The Mycobacterium tuberculosis (M. tuberculosis)-specific culture filtrate protein-10 (CFP-10) is highly recognized by M. tuberculosis infected subjects. In the present study, the proliferative response and IFN-gamma secretion

was found for C-terminal peptides of the protein (Cfp6(51-70), Cfp7(61-80), Cfp8(71-90), buy Anlotinib and Cfp9(81-100)). The alleles HLA DRB1 *04 and HLA DRB1 *10 recognized the C-terminal peptides Cfp7, Cfp8, and Cfp9 in HHC. Cfp6 was predominantly recognized by the alleles HLA DRB1 *03 and HLA DRB1 *15 by PTB. The minimal nonameric epitopes from the C-terminal region were CFP-10(56-64) and CFP-10(76-84). These two peptides deserve attention for inclusion in a vaccine against tuberculosis in this region.”
“BACKGROUND\n\nAcute exercise may exert deleterious effects on the cardiovascular system through a variety of pathophysiological mechanisms, including increased platelet activation. However, the degree of exercise-induced platelet activation in untreated hypertensive (UH) individuals as compared with normotensive (NT) individuals has yet to be established. Furthermore, the effect of antihypertensive treatment on exercise-induced platelet activation in essential hypertension (EH) remains unknown.

Quinqueloculares (Boiss ) Phitos (Campanulaceae) were investigate

Quinqueloculares (Boiss.) Phitos (Campanulaceae) were investigated with a light microscope (LM)

and scanning electron microscope (SEM). All examined species are endemic, except Campanula crispa Lam. According to the results of this study, pollen grains of the examined taxa were triporate and spheroidal. Their sculpture was spinose and baculate (C. crispa Lam.); spinulose and microperforate (C. tomentosa Lam.); microperforate (C. vardariana Bocquet) or more commonly, microechinate (C. iconia selleck chemical Phitos, C. lyrata Lam. subsp. lyrata, C. hagielia Boiss., C. sorgerae Phitos, C. betonicifolia SM., C. karadjana Bocquet, C. telmessi Hub.-Mor. & Phitos, C. davisii Turrill).”
“Background: Herein we report a case of bilateral anterior ischemic optic neuropathy (AION) showing histopathologic evidence of AL-amyloidosis of the temporal arteries. It is known that light-chain (AL) amyloidosis may rarely affect the temporal arteries, mimicking giant cell arteritis, while, to our knowledge, the association between AL-amyloidosis and AION was not previously described. Case presentation: A 64 year-old woman with AL-amyloidosis secondary

to a monoclonal gammopathy of undetermined significance (MGUS) referred to our hospital for acute painless drop of vision due to bilateral AION. Age greater than 50 years, high erythrocyte sedimentation rate (ESR), and bilateral AION were suggestive of giant cell arteritis (GCA). However, a temporal artery biopsy excluded GCA, showing segmental stenosis of the lumen caused by amyloidosis of the artery wall. Conclusions: The present case shows that AL-amyloidosis may present with AION, high ESR, and temporal artery MLN4924 involvement, mimicking GCA. In patients with monoclonal gammopathies, C-reactive protein may be a more specific index of GCA compared with the ESR. Patient medical history and pathology are crucial for a correct diagnosis.”
“Adenoviruses with deletion of E1b have been used in clinical trials to treat cancers that are resistant to conventional therapies. The efficacy of viral replication within cancer cells determines the results of oncolytic therapy, which Nutlin-3 concentration remains poorly understood and requires further improvement. In this report, we show

that adenoviruses induce autophagy by increasing the conversion of LC3-I to LC3-II and the formation of the Atg12-Atg5 complex. Inhibition of autophagy with 3-methyladenine (3MA) resulted in a decreased synthesis of adenovirus structural proteins, and thereby a poor viral replication; promotion of autophagy with rapamycin increased adenovirus yield. This study indicates that adenovirus-induced autophagy correlates positively with virus replication and oncolytic cell death, and that autophagy may generate nutrients that can be used for building viral progeny particles. These results further suggest that chemotherapeutic agents that increase cancer cell autophagy may improve the efficacy of oncolytic virotherapy. (C) 2011 Elsevier Inc. All rights reserved.

Our results suggest that pharmacological inhibition of the me

\n\nOur results suggest that pharmacological inhibition of the membrane norepinephrine, but not membrane dopamine, transporter is associated with enhanced behavioral flexibility. These data, combined with earlier

Angiogenesis inhibitor reports, may indicate that enhanced extracellular catecholamine levels in cortical regions, secondary to norepinephrine reuptake inhibition, improves multiple aspects of inhibitory control over responding in rats and monkeys.”
“Increased blood pressure (BP) during orthognathic surgery may result in excessive blood loss, poor surgical field visualization, and longer surgical time and require blood transfusion. When uncontrollable high BP is encountered in an otherwise healthy patient during orthognathic surgery, the diagnosis of pheochromocytoma should be considered. Pheochromocytomas are rare

neuroendocrine tumors of the chromaffin cells of the adrenal medulla or extra-adrenal paraganglia (sympathetic ganglia) that secrete catecholamine. They are present in approximately 0.05 to 0.2% of hypertensive patients. Patients can present with hypertension, tachycardia, headaches, and diaphoresis. The clinical presentation Vorinostat mw may vary and a wide spectrum of nonspecific symptoms may be encountered. The elevated BP can be intermittent (40%) or permanent (60%). About 10% of pheochromocytomas are hereditary and they can be a feature of multiple

endocrine neoplasia type 2. This report describes the case of a 29-year-old patient with a large pheochromocytoma of the right adrenal gland undiagnosed before orthognathic surgery. (C) 2014 American Association of Oral and Maxillofacial Surgeons”
“The objective of this study was to evaluate the survivorship of revision TKA and determine the reasons and predictors for failure. Between January 1999 to December 2005, 499 total knee arthroplasty revisions were performed on 474 patients. There were 292 (61.6%) women and 182 (38.4%) men. The average age at the time of index revision was 63.9 years. Revision selleck was defined as surgery in which at least one component (tibial, patellar, femoral, or polyethylene) required exchange. At an average follow-up of 64.8 months (range, 24.1-111.6), and considering reoperation or re-revision as failure, there were 102 failures (18.3%). Infection was the major cause of failure (44.1%) followed by stiffness (22.6%), patellar or extensor mechanism problems (12.8%), periprosthetic fracture (5.9%), loosening (4.9%), haematoma formation (3.9%), malalignment (2.9%), and instability (2.9%). A total of 83% of failures were early (less than two years). Infection was the most common mechanism of failure of revision TKA. The majority of TKA revision failures tend to occur in the first two years after revision.

Participants read or listened to sentences organized in series wh

Participants read or listened to sentences organized in series which could or not share similar syntactic constructions and/or lexico-semantic content. The repetition of lexico-semantic content yielded adaptation in most of the temporal and frontal sentence processing network, both in the visual and the auditory modalities, even when the same lexico-semantic content was expressed using

variable syntactic constructions. No fMRI adaptation www.selleckchem.com/products/napabucasin.html effect was observed when the same syntactic construction was repeated. Yet behavioral priming was observed at both syntactic and semantic levels in a separate experiment where participants detected sentence endings. We discuss a number of possible explanations for the absence of syntactic priming in the fMRI experiments, including the CH5424802 manufacturer possibility that the conglomerate of syntactic properties defining “a construction” is not an actual object assembled during parsing.”
“Cardiac

performance depends on a fine balance between the work the heart has to perform to satisfy the needs of the body and the energy that it is able to produce. Thus, energy production by oxidative metabolism, the main energy source of the cardiac muscle, has to be strictly regulated to adapt to cardiac work. Mitochondrial biogenesis is the mechanism responsible for mitochondrial component synthesis and assembly. This process controls mitochondrial content and thus correlates with energy production that, in turn, sustains cardiac contractility. Mitochondrial biogenesis should be finely controlled to match cardiac growth

BIX 01294 and cardiac work. When the heart is subjected to an increase in work in response to physiological and pathological challenges, it adapts by increasing its mass and expressing a new genetic program. In response to physiological stimuli such as endurance training, mitochondrial biogenesis seems to follow a program involving increased cardiac mass. But in the context of pathological hypertrophy, the modifications of this mechanism remain unclear. What appears clear is that mitochondrial biogenesis is altered in heart failure, and the imbalance between cardiac work demand and energy production represents a major factor in the development of heart failure.”
“Aims: The study aimed to determine how childhood asthma is managed in Western Australia by general practitioners (GPs) and specialist paediatricians.\n\nMethods: A questionnaire survey was sent to 992 GPs and specialist paediatricians, asking about practice and preferences regarding maintenance management of childhood asthma and treatment of acute asthma. Questions about asthma in infants, pre-school and school-aged children were asked separately.\n\nResults: The overall response rate was 24.7%, with 188/878 (21.4%) of GPs and 44/62 (71.0%) of paediatricians returning the questionnaire. The decision to start maintenance therapy was generally based on symptom frequency and severity. The first choice for maintenance treatment in all age groups was inhaled corticosteroids (ICS).

Univariate regression analysis revealed that ezFMD significantly

Univariate regression analysis revealed that ezFMD significantly correlated with age (r = -0.42, P < 0.0001), body mass index (r = -0.13, P = 0.028), systolic blood pressure (r = -0.15, P = 0.009), diastolic blood pressure (r = -0.14, P = 0.011), fasting glucose level (r = -0.27, P = 0.006), smoking (r = -0.21, P = 0.007) and baseline pulse wave amplitude (r = -0.51, P < 0.0001). ezFMD significantly correlated with conventional FMD (r = 0.34, P < 0.0001). Multiple regression analysis revealed that age (P = 0.002), body mass index (P = 0.013), systolic blood pressure (P = 0.009), smoking (P = 0.004) and baseline PF-03084014 pulse wave amplitude (P

< 0.001) were MLN2238 in vitro independent predictors of ezFMD.\n\nConclusions: These findings suggest that measurement of ezFMD, a novel noninvasive and simple method, may be useful

for determination of vascular diameter response to reactive hyperemia. Since ezFMD is automatically measured by a device with an oscillometric method, measurement of ezFMD is easier and less biased than that of conventional FMD. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“The availability of the human genome sequence has allowed identification of disease-causing mutations in many Mendelian disorders, and detection of significant associations of nucleotide polymorphisms to complex diseases and traits. Despite these progresses, finding the causative variations for most of the common diseases remains a complex task. Several studies have shown gene expression analyses provide a quite unbiased way to investigate complex traits and common disorders’ pathogenesis. Therefore, whole-transcriptome analysis this website is increasingly acquiring a key role in the knowledge of mechanisms responsible for complex diseases. Hybridization- and tag-based technologies have elucidated the involvement of multiple genes and pathways in pathological conditions, providing insights into the expression of thousand

of coding and noncoding RNAs, such as microRNAs. However, the introduction of Next-Generation Sequencing, particularly of RNA-Seq, has overcome some drawbacks of previously used technologies. Identifying, in a single experiment, potentially novel genes/exons and splice isoforms, RNA editing, fusion transcripts and allele-specific expression are some of its advantages. RNA-Seq has been fruitfully applied to study cancer and host-pathogens interactions, and it is taking first steps for studying neurodegenerative diseases (ND) as well as neuropsychiatric diseases. In addition, it is emerging as a very powerful tool to study quantitative trait loci associated with gene expression in complex diseases.

(C) 2010 Elsevier Ireland Ltd All rights

reserved “

(C) 2010 Elsevier Ireland Ltd. All rights

reserved.”
“Embryos with greater viability have a lower or ‘quieter’ amino acid metabolism than those which arrest. We have hypothesized this is due to non-viable embryos possessing greater cellular/molecular damage and consuming more nutrients, such as amino acids for repair processes. We have tested this proposition by measuring physical damage to DNA in bovine, porcine and human embryos at the blastocyst stage and relating the data to amino acid profiles during embryo development.\n\nAmino acid profiles of in vitro-derived porcine and bovine blastocysts were measured by high-performance liquid chromatography and the data related retrospectively to DNA damage in selleckchem each individual blastomere using a modified alkaline comet assay. Amino acid profiles of spare human embryos on Day 2-3 were related to DNA damage at the blastocyst stage.\n\nA Ferroptosis inhibitor positive correlation between

amino acid turnover and DNA damage was apparent when each embryo was examined individually; a relationship exhibited by all three species. There was no relationship between DNA damage and embryo grade.\n\nAmino acid profiling of single embryos can provide a non-invasive marker of DNA damage at the blastocyst stage. The data are consistent with the quiet embryo hypothesis with viable embryos (lowest DNA damage) having the lowest amino acid turnover. Moreover, these data support the notion that metabolic profiling, in terms of amino acids, might be used to select single embryos for transfer in clinical IVF.”
“The synaptic vesicle is currently the most well-characterized cellular organelle. During neurotransmitter release it undergoes multiple cycles of exo- and endocytosis. Despite this the vesicle manages to retain its protein and lipid composition. How does this happen? Here we provide a brief overview of the molecular architecture of the synaptic

vesicle, and discuss recent studies investigating single vesicle behavior and the mechanisms controlling the vesicle’s molecular contents. (C) 2010 Elsevier Inc. All rights reserved.”
“Targeted biological therapy is becoming a standard in personalized medicine for patients with advanced stages of cancer. Treatment with cetuximab, an anti-epidermal growth factor receptor (EGFR) antibody, represents an example SNX-5422 cell line of personalized anticancer the for patients with metastatic colorectal cancer and wild (non-mutated) type of the Kirsten rat sarcoma viral oncogene (KRAS). Here the role of cetuximab in treating metastatic colorectal cancer is discussed with a focus on the treatment of hepatic metastases.”
“Aqueous polymer dispersions are important raw materials used in a variety of industrial processes. They may contain particles with diameters ranging from 10 to 1500 nm. Polymer exposure alone may cause pulmonary lesions after inhalation exposure.