IMPACT: The importance of SCFE is on the rise due to consumers’ p

IMPACT: The importance of SCFE is on the rise due to consumers’ preferences for ‘natural’ as opposed to synthetic substances and, impending regulations for environmental protection, safety, nutritive and toxicity levels.

APPLICATIONS: Newer applications of SCFs include separation and purification of chemicals, cleaning, coating, particle formation, textile dyeing, aerogel drying, reactions

with separation and food preservation. Some fundamental aspects of SCFs, various processing technologies with SCFs, and a few newer potential applications are presented in this article. (C) 2008 Society of Chemical Industry”
“Background: Left ventricular noncompaction (LVNC) describes deep trabeculations in the left ventricular (LV) endocardium and STI571 a thinned epicardium. LVNC is seen both as a primary cardiomyopathy JAK inhibitor and as a secondary finding in other syndromes affecting the myocardium such as neuromuscular disorders. The objective of this study is to define the prevalence of LVNC in the Duchenne Muscular Dystrophy (DMD) population and characterize its relationship to global LV function.

Methods:

Cardiac magnetic resonance (CMR) was used to assess ventricular morphology and function in 151 subjects: DMD with ejection fraction (EF) > 55% (n = 66), DMD with EF < 55% (n = 30), primary LVNC (n = 15) and normal controls (n = 40). The non-compacted to compacted (NC/C) ratio was measured click here in each of the 16 standard myocardial segments. LVNC

was defined as a diastolic NC/C ratio > 2.3 for any segment.

Results: LVNC criteria were met by 27/96 DMD patients (prevalence of 28%): 11 had an EF > 55% (prevalence of 16.7%), and 16 had an EF < 55% (prevalence of 53.3%). The median maximum NC/C ratio was 1.8 for DMD with EF > 55%, 2.46 for DMD with EF < 55%, 1.54 for the normal subjects, and 3.69 for primary LVNC patients. Longitudinal data for 78 of the DMD boys demonstrated a mean rate of change in NC/C ratio per year of +0.36.

Conclusion: The high prevalence of LVNC in DMD is associated with decreased LV systolic function that develops over time and may represent muscular degeneration versus compensatory remodeling.”
“The usefulness of ultrasound (US) for improving steps in analytical chemistry has been widely demonstrated in the past decade. One of the recent applications of US is to facilitate formation of emulsion for dramatic enhancement of the contact between surfaces of two immiscible phases. The effect is to enhance mass transfer between phases (liquid-liquid extraction) in miniaturized systems and to promote leaching of polar and non-polar components (solid-liquid extraction).

We discuss potential uses with special emphasis on the achievements and the weak points of the present research.

Expression of FXYD-3 in the cytoplasm markedly increased from nor

Expression of FXYD-3 in the cytoplasm markedly increased from normal esophageal epithelial cells to primary ESCC (P = 0.001). The expression of FXYD-3 was correlated with TNM stages and depth of tumor invasion. Furthermore, the cases with lymph node metastasis tended to show a higher frequency of positive expression than those without metastasis (P =

0.086), and FXYD-3 expression tended to be positively related to the expression of PINCH (P = 0.063). Moreover, the cases positive for both proteins had the highest frequency of lymph node metastasis (P = 0.001). However, FXYD-3 expression was not correlated with patient’s gender (P = 0.847), age (P = 0.876), tumor location (P = 0.279), size (P = 0.771), grade of differentiation check details (P = 0.279), and survival (P = 0.113). Conclusion. Overexpression of FXYD-3 in the cytoplasm may play an important role in the tumorigenesis and development in the human ESCC, particularly in combination with PINCH expression.”
“A series of

side-chain liquid crystalline polysiloxanes bearing different chiral groups were synthesized with a cholesteric liquid crystalline monomer cholesteryl 2-(4-allyloxy-benzoxy)-succinate and a chiral monomer 2-isopropyl-5-methyl-cycloliexyl 4-allyloxy-benzoate. All the chiral polymers showed cholesteric mesophase with very wide mesophase temperature ranges. Along with phase morphology varied from solid state https://www.selleckchem.com/Wnt.html to isotropic state, the sample exhibited varied spectroscopic images, indicating different phase behaviors between mesophase and isotropic state. Optical properties of the polymers were characterized with circular polarization spectra and optical rotation analysis. The specific rotations of the chiral liquid crystalline polymers were all negative values and increased with increase of menthyl component Citarinostat in the polymer systems. As compared with corresponding monomers, the polymers showed significantly lower specific rotations, suggesting that the existence of polysiloxane main chains affect the molecule polarity. The selective light reflection maximum wavelength of the polymers at the same temperature shifted to short wavelength with decrease of cholesteryl component,

indicating that the helical pitch becomes shorter due to induction of menthyl groups with high chiral properties. The temperature dependence of selective light reflection maximum wavelength was shifted to a longer wavelength region as the temperature decreased. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 114: 2195-2203, 2009″
“This article contains a review of some of the most important studies in the field of arrhythmias and cardiac electrophysiology that have been reported in publications during the last year. They were selected because of their clinical relevance and because they made a positive contribution to the continuing technological development of the invasive procedures used in cardiac electrophysiology.”
“Background.

The performance of diagnostic testing for latent tuberculosis inf

The performance of diagnostic testing for latent tuberculosis infection in patients with rheumatic diseases will be discussed.

Recent findings

In patients with rheumatoid arthritis, IGRAs are more sensitive and more specific than traditional tuberculin skin testing. They are unaffected by Bacillus-Calmette-Guerin Cyclopamine molecular weight vaccination and most nontuberculous mycobacteria. Most comparative studies show a better performance of the IGRAs than tuberculin

skin testing in terms of a higher specificity. The rate of indeterminate results may be affected by glucocorticoids and the underlying disease but appears independent of disease-modifying antirheumatic drugs. Despite using identical Mycobacterium tuberculosis antigens, the two commercially available tests show differences in clinical performance.

Summary

The current information about the performance of the tuberculin skin testing and the IGRAs in the detection of latent tuberculosis infection in patients with rheumatic diseases strongly suggest a clinically relevant advantage of the IGRAs.

Their use will help to reduce overuse and underuse of preventive treatment in tumour necrosis factor inhibition.”
“In the late post-operative period, find more the necessity of performing an upper gastrointestinal endoscopy (GIE) to check for complications is controversial. Some authors suggest it should be routine for all patients, others selectively, but not all patients with endoscopic abnormalities are symptomatic and some abnormalities are potentially severe. The study was conducted to evaluate the endoscopic findings from asymptomatic obese patients after Roux-en-Y gastric bypass (RYGB) and correlate them with the demographic data and the presence of Helicobacter pylori (Hp).

A total of 715 asymptomatic patients were prospectively submitted to an upper GIE at the end of their first post-operative year. These examinations Prexasertib clinical trial were evaluated for the presence of abnormalities, their prevalence and their potential severity.

Abnormalities were found in 189 patients (26.5

%). Eighty-four (11.7 %) presented esophageal abnormalities, with 72 (10.1 %) characterized as esophagitis and 12 (1.7 %) as hiatal hernia. Forty-five patients (6.3 %) presented abnormalities of the stomach and the anastomosis, with 26 (3.6 %) characterized as anastomotic ulcers, nine (1.3 %) as stenosis of the gastrojejunal anastomosis, ten (1.4 %) as band erosion and 72 (10.1 %) as jejunitis. There was a statistically significant correlation between super obesity and band erosion.

An upper GIE at the end of the first year of RYGB plays an important role, even for asymptomatic patients. One fourth of these asymptomatic patients had their treatment modified after the upper GIE was performed.”
“Background: Nasal irrigation has been used as an adjunctive therapy of allergic rhinitis (AR).

SETTING: Laboratory of Experimental Ophthalmology, University Med

SETTING: Laboratory of Experimental Ophthalmology, University Medical Center Groningen, University of Groningen, Pinometostat mw Groningen, The Netherlands.

METHODS: This study evaluated patients with bilateral age-related cataract who had cataract surgery with implantation of an aspheric Tecnis ZA9003 or spherical Sensar AR40e intraocular lens (IOL). Stray light measurements were performed with a C-Quant straylight meter 6 weeks after surgery (with natural pupils) and 1 year after surgery (with natural and dilated pupils) in a randomly chosen eye. Retroillumination photographs of dilated pupils were taken to document posterior capsule opacification. The main outcome

variable for straylight measurements was the logarithmic straylight

parameter, log(s).

RESULTS: Twenty-two patients were evaluated. There was PP2 a statistically significant decrease in straylight in a natural pupil between 6 weeks (mean 1.44 log[s]) and 1 year (mean 1.30 log[s]) postoperatively (P = .012). The straylight parameter was greater after dilation (mean 1.48 log[s]) than with a natural pupil (1.29 log[s]) at 1 year (P = .012). This difference was greater when more anterior capsule was visible in the pupillary area (P = .031).

CONCLUSIONS: Stray light decreased significantly in the first year after cataract surgery. Furthermore, it increased with increasing pupil size, which was associated with a capsulorhexis smaller than the pupil. This indicates the capsulorhexis should be as large as possible to prevent straylight, especially under low-luminance conditions when the pupil is large.”
“BACKGROUND: Right ventricular (RV) failure is a major contributor to morbidity and mortality after left ventricular assist device (LVAD) implantation. Accurate evaluation of RV function Duvelisib mouse in patients with LVAD remains challenging. We hypothesized that, after LVAD implantation, electrocardiographicgated cardiac computed tomography (CCT) allows RV evaluation with higher feasibility and reproducibility compared

with echocardiography.

METHODS: Thirty-six patients with an implanted LVAD who had 2-dimensional echocardiography and CCT evaluation were studied. RV end-diastolic and end-systolic volumes and ejection fraction were quantified using CCT. RV fractional area change, tricuspid annular plane systolic excursion and RV end-diastolic short-to-long axis ratio were calculated by echocardiography. Intraclass correlation coefficients (ICCs) and Bland-Altman analysis were used to assess intra- and interobserver reproducibility for all measurements.

RESULTS: The quality of CCT studies was good in all cases except for one. Intra- and interobserver reproducibility for all CCT measurements was high (interobserver ICC for RV ejection fraction = 0.89, 95% confidence interval 0.74 to 0.95). Echocardiographic indices of RV function and geometry had lower reproducibility.

Methods

The two questionnaires were administered to 589

Methods.

The two questionnaires were administered to 589 patients with chronic heart failure who were registered with 97 primary care physicians. The applicability, internal consistency and validity of the MLHFQ were evaluated and comparisons were made with the SF-36.

Results. More than 90% Selleck Crenolanib of patients completed the questionnaires. The percentage of uncompleted items was low. Cronbach’s alpha ranged from 0.79 to 0.94 for the various MLHFQ dimensions. Exploratory factorial analysis identified two factors that explained 65.8% of the variance. Moderate to good correlations were observed between similar dimensions of the MLHFQ and SF-36 (correlation coefficient 0.43 to 0.73). There were significant associations between scores

on the MLHFQ and clinical measures of disease severity.

Conclusions. When used in primary care. the MLHFQ had a high level of acceptability and good psychometric properties compared with the SF-36. YH25448 Consequently, it would be useful for assessing health-related quality of life in patients with chronic heart failure.”
“Scorpion envenomation in pregnant victims has been scarcely studied. We would like to suggest an association between yellow scorpion sting during the third trimester of pregnancy and adverse fetal outcome. The particular deleterious mechanism of scorpion venom has not been elucidated yet.”
“Virtual reality videogames can be used to motivate rehabilitation, and telerehabilitation can be used to improve access to 3-deazaneplanocin A purchase rehabilitation. These uses of technology to improve health outcomes are a burgeoning area of rehabilitation research. So far, there is a lack of reports of long-term outcomes of these types of interventions. The authors report a 15-year-old boy with hemiplegic cerebral palsy and epilepsy because of presumed perinatal stroke who improved his plegic hand function and increased his plegic forearm bone health during a 14-month virtual reality videogame hand telerehabilitation intervention. A total of 14 months after the intervention ended, repeat evaluation demonstrated maintenance of both increased hand function and forearm bone

health. The implications of this work for the future of rehabilitation in children with neurological disabilities are discussed in this article.”
“Carbon monoxide (CO) intoxication has serious adverse effects to the mother and fetus and a result of intrauterine hypoxia, it leads to fetal death or severe neurological sequelae. In this article, a preterm infant who was acutely exposed to CO at the 33rd weeks of gestation before delivery was presented. The baby was delivered by emergent cesarean section at the 34th weeks of gestation due to findings of fetal distress and he had severe hypoxic ischemic encephalopathy leading to death. Results and treatment modalities of CO poisoning during pregnancy were reviewed.”
“Introduction and objectives. Studies indicate that dyslipidemia is undertreated.

Poly(ethylene terephthalate) (PET), poly(3-hydroxybutyrate-co-3-h

Poly(ethylene terephthalate) (PET), poly(3-hydroxybutyrate-co-3-hydroxyvalerate) with 12%mole of see more hydroxyvalerate content (PHBV) and poly(ethylene oxide) (PEO) were blended with epoxidized natural rubber (ENR). These blends turn out to be immiscible. Degree of crystallinity after isothermal crystallization and equilibrium melting point of the crystallizable constituents stay constant to a good approximation in blends with ENR. Exponential decay of rate of crystallization could

be observed for both neat polymers and blends. Morphology formation was observed under condition of constant rate of crystallization, which is concomitantly related to different distances to equilibrium. It turns out that morphology development in the blends reflects both aspects. (C) 2010 Wiley Periodicals,

Inc. J Appl Polym Sci 120: 1774-1781, 2011″
“PURPOSE: To provide a method to allow calculation of the average focal length and power of a lens through a specified meridian of any defined surface, not limited to the paraxial approximations.

SETTING: University of Liverpool, Liverpool, United Kingdom

METHOD: Functions were derived to model back-vertex focal length and representative power through a meridian containing any defined surface. Average back-vertex focal length was based on the definition of the average of a function, using the angle of incidence as an independent variable

RESULTS: Univanate functions allowed determination of average focal length and power through a section of any defined or topographically measured surface of a known refractive index. These functions incorporated Adavosertib concentration aberrations

confined to the section.

CONCLUSIONS: The proposed method closely approximates the average focal length, and by inference power, of a section (meridian) of a surface to a single or scalar value It is not dependent on the paraxial and other nonconstant approximations and includes aberrations confined to that meridian. A generalization of this method to include all orthogonal buy RG-7388 and oblique meridians is needed before a comparison with measured wavefront values can be made.”
“In this work, we perform a study of spin transport in bilayer graphene using semiclassical Monte Carlo simulation. Both the D’yakonov-Perel’ (DP) and Elliot-Yafet (EY) mechanisms for spin relaxation are considered. A vertical field of varying magnitude is applied across the bilayer and the dependence of the spin relaxation length on the applied field is considered. It is found that the spin relaxation length is a function of the applied vertical field, due to the effects of the EY and DP mechanisms, and the relaxation length reaches a maximum for a particular value of the vertical field. (C) 2011 American Institute of Physics. [doi: 10.1063/1.3525650]“
“A new type poly(vinyl alcohol) (PVA)/peat/bamboo charcoal (BC)/KNO3 composite bead was prepared, which has a diameter of 2.4-6.0 mm and a density of 1.133 g/cm(3) and is a porous spherical particle.

(C) 2011 Elsevier Masson SAS All rights reserved “
“P>Ph

(C) 2011 Elsevier Masson SAS. All rights reserved.”
“P>Phosphate is a crucial and often limiting nutrient for plant growth. To obtain inorganic phosphate (P(i)), which is very insoluble, and is heterogeneously distributed in the soil, plants Selleck Rabusertib have evolved a complex network of morphological and biochemical processes. These processes

are controlled by a regulatory system triggered by P(i) concentration, not only present in the medium (external P(i)), but also inside plant cells (internal P(i)). A ‘split-root’ assay was performed to mimic a heterogeneous environment, after which a transcriptomic analysis identified groups of genes either locally or systemically selleck products regulated by P(i) starvation at the transcriptional level. These groups revealed coordinated regulations for various functions associated with P(i) starvation (including P(i) uptake, P(i) recovery, lipid metabolism, and metal uptake), and distinct roles for members in gene families. Genetic tools and physiological analyses revealed that genes that are locally regulated appear to be modulated mostly by root development

independently of the internal P(i) content. By contrast, internal P(i) was essential to promote the activation of systemic regulation. Reducing the flow of P(i) had no effect on the systemic response, suggesting that a secondary signal, independent of P(i), could be involved in the response. Furthermore, our results display a direct role for the transcription factor PHR1, as genes systemically controlled by low P(i) have promoters enriched with P1BS motif (PHR1-binding sequences). These data detail various regulatory systems regarding P(i) starvation responses (systemic versus local, and internal versus external P(i)), and provide tools to analyze and classify the effects of P(i) starvation

on plant physiology.”
“Kidney donors, similar to the general population, are at risk for development of type 2 diabetes mellitus (T2DM). The course of donors who develop T2DM has not been studied. We surveyed 3777 kidney donors regarding the development of T2DM. Of the 2954 who responded, 154 developed T2DM 17.7 +/- 9.0 years after donation. The JNJ-26481585 supplier multivariable risk of development of T2DM was associated with type 1 DM in the recipient, male gender and body mass index >30 kg/m(2) at time of donation. Compared to age, gender, duration after donation and body mass index (BMI)-matched nondiabetic donor controls; diabetic donors were more likely to have hypertension (70.8% vs. 36.2%, p = 0.005), proteinuria ( 18.8% vs. 3.9%, p < 0.0001) but had a similar serum creatinine. eGFR change after T2DM development was -0.80 +/- 0.94 mL/min/year, -0.70 +/- 0.86 in nondiabetic donors with similar duration after donation and -0.61 +/- 0.

(C) 2010 Elsevier Inc All

rights reserved “
“Object

(C) 2010 Elsevier Inc. All

rights reserved.”
“Objective: To study the effect of different mail- and phone-based strategies, along with patient- and research-related factors, on the time to contact with research participants.

Study Design and Setting: A prospective evaluation of a 12-week standardized protocol (embedded with two randomized trials of mail- and phone-based BMN 673 cost strategies) for contacting existing research participants for recruitment into a related study.

Results: Of 146 participants, 87 were eligible for contact via the standardized protocol, and 63 (72%) of these were successfully contacted within 12 weeks after multiple mail- and phone-based efforts. Using Cox proportional hazards regression analysis, the different mail and phone strategies showed no significant difference in the time to contact with participants. Of 34 patient- and research-related factors evaluated, only two were independently associated with time to contact among all 146 participants: (1) participants having their last visit conducted outside of the research

clinic because of patient illness/condition had a longer time to contact and (2) those with a self-reported chronic fatigue history had a shorter time to contact.

Conclusion: Few patient characteristics and research-related factors accurately predict time Navitoclax order to contact. Repeated attempts using different strategies are important for successful and timely contact with study participants. (C) 2011 Elsevier Inc. All rights reserved.”
“Objective: To evaluate the combination of two factors: clinical dementia rating sum of boxes scores (CDR-SB) and hippocampal volume (HV) as predictors of conversion from mild cognitive impairment

(MCI) to dementia. Methods: Twenty-eight individuals (9 normal and 19 with MCI) were classified according to their CDR sum of boxes scores into 3 groups. Results: The hippocampal volume was significantly lower in the high-risk group and in those who developed dementia after two years. The rate of conversion was crescent among the three groups. Conclusion: We were proposed an additional measurement of the hippocampal volume which may be helpful in the prognosis. However, we noted that the CDR-SB is a method as efficient HM781-36B as neuroimaging to predict dementia with the advantage of being a procedure for low cost and easy implementation, more consistent with public policy.”
“Objective: To develop a simple clinical screening tool for community-dwelling older adults.

Study Design and Setting: A prospective multicenter cohort study was performed among healthy subjects of 65 years and older, examined in 10 health examination centers for the French health insurance. Falls were ascertained monthly by telephone for 12-month follow-up. Multivariate analyses using Cox regression models were performed. Regression coefficients of the predictors in the final model were added up to obtain the total score.

Moreover, our results show that the device containing carbon nano

Moreover, our results show that the device containing carbon nanotubes with large selleckchem length and diameter can produce the current with 100% spin polarization, which is essential for spintronic devices. Physical mechanisms and the comparison with the results of graphene are also discussed. (C) 2010 American Institute of Physics. [doi:10.1063/1.3510537]“
“PURPOSE: To evaluate intraocular lens (IOL) power

calculation using a new optical low-coherence reflectometry (OLCR) biometer and compare the results with those obtained with a partial coherence interferometry (PCI) optical biometer.

SETTING: International Vision Correction Research Centre, Department

of Ophthalmology, University of Heidelberg, Heidelberg, Germany.

METHODS: Biometry measurements in eyes of cataract patients were performed by the same examiner with an OLCR biometer (Lenstar LS 900/Allegro Biograph) and a PCI optical biometer (IOLMaster). After determination of axial length (AL), corneal radii values by keratometry (R1 and R2), and anterior chamber depth (ACD), power calculation for an AcrySof MA60AC IOL was compared between the 2 devices using 4 formulas and the corresponding IOL constants. The target was emmetropia.

RESULTS: One hundred eyes of 100 cataract patients (mean age 70.0 years +/- 10.6 [SD]) were measured. Of the biometry parameters, the only statistically significant differences between the 2 devices were learn more find more in R2 (mean difference 0.02 +/- 0.05 mm), (R1 + R2)12 (mean difference 0.01 +/- 0.04 mm), and ACD (mean difference 0.05 +/- 0.11 mm) (P<.01, Wilcoxon

test). The mean differences in IDL power calculations using the 4 formulas were not statistically significant between the 2 devices (P>.01, Wilcoxon test).

CONCLUSION: The OLCR biometry device provided precise and valid measurements and thus can be used for the preoperative examination of cataract patients.”
“Polyester (PET), cotton (COT), and two relative blend textile fabrics were treated by sol-gel processes. Tetraethoxysilane (TEOS) was used as inorganic precursor of silica phases; furthermore, different TEOS/H(2)O ratios were examined to explore the effect of the presence of SiO(2) on the thermal and fire stability of the textile fabrics investigated. The distribution and dispersion of SiO(2) were observed by means of scanning electronic microscopy (SEM). SEM magnifications showed the formation of a continuous silica film located in the neighboring fibers; furthermore, in the case of PET, such a film incorporated silica particles with an average diameter ranging between 0.2 and 6 mu m.

01) The expression of TLR2 in the stroma was not observed in the

01). The expression of TLR2 in the stroma was not observed in the group of healthy dogs at all stages. The surface epithelium of cervix in dogs with pyometra expressed TLR2 significantly more intensely than did the stoma, whereas the expression of TLR2 during oestrus and dioestrus was absent in the stroma of cervix. This study provides the first report of immunohistochemical localization of TLR2 in the canine reproductive tract. In the present study, TLR2 was expressed in endometrial epithelium but was absent in the endometrial stroma of healthy dogs at all oestrous cycle stages. These findings suggest differential expression of TLR in endometrial cells. On the other hand, the lack of TLR2

in the stroma of healthy uteri of dogs may predispose to infection from the invading pathogens once the epithelial cells have been destroyed by the pathogens, especially Gram-positive bacteria.”
“Aim: Cardiopulmonary resuscitation selleck kinase inhibitor (CPR) quality is associated with survival outcomes after out-ofhospital cardiac arrest. The objective of this study was to evaluate the effectiveness of simplified dispatcher CPR instructions Metabolism inhibitor to improve

the chest compression (CC) quality during simulated pediatric cardiac arrest in public places.

Methods: Adult bystanders recruited in public places were randomized to receive one of two scripted dispatcher CPR instructions: (1) “”Push as hard as you can”" (PUSH HARD) learn more or (2) “”Push approximately 2 inches”" (TWO INCHES). A pediatric manikin with realistic CC characteristics (similar to a 6-year-old child), and a CPR recording defibrillator was used for quantitative CC data collection during a 2-min simulated pediatric scenario. The primary outcome was average CC depth treated as a continuous variable. Secondary outcomes included compliance with American Heart Association (AHA) CPR targets. Analysis was by two-sided unpaired t-test and Chi-square test, as appropriate.

Results: 128 out of 140 providers screened met inclusion/exclusion criteria and all 128 consented. The average CC depth (mean (SEM)) was greater in PUSH HARD compared to

TWO INCHES (43 (1) vs. 36 (1) mm, p<0.01) and met AHA targets more often (39% (25164) vs. 20% (13164), p=0.02). CC rates trended higher in the PUSH HARD group (93 (4) vs. 82 (4) CC/min, p=0.06). More providers did not achieve full chest recoil with PUSH HARD compared to TWO INCHES (53% (34164) vs. 75% (48164), p=0.01).

Conclusions: Simplified dispatcher assisted pediatric CPR instructions: “”Push as hard as you can”" was associated with lay bystanders providing deeper and faster CCs on a simulated, 6-year-old pediatric manikin. However, percentage of providers leaning between CC increased. The potential effect of these simplified instructions in younger children remains unanswered. (C) 2013 Elsevier Ireland Ltd. All rights reserved.