“Bioactive borosilicate glass scaffolds with the pores of


“Bioactive borosilicate glass scaffolds with the pores of several hundred

micrometers and a competent compressive strength were prepared through replication method. The in vitro degradation and bioactivity behaviors of the scaffolds have been investigated by Selleck Caspase inhibitor immersing the scaffolds statically in diluted phosphate solution at 37A degrees C, up to 360 h. To monitor the degradation progress of the scaffolds, the amount of leaching elements from the scaffolds were determined by ICP-AES. The XRD and SEM results reveal that, during the degradation of scaffolds, the borosilicate scaffolds converted to hydroxyapatite. The compressive strength of the scaffolds decreased during degradation, in the way that can be well predicted by the degradation products, or the leachates, from the scaffolds. MTT assay

results demonstrate that the degradation products have little, if any, inhibition effect on the cell proliferation, when diluted to a certain concentration ([B] < 2.690 and pH value at neutral level). The study shows that borosilicate glass scaffold could be a promising candidate for bone tissue engineering material.”
“Estrogens have some anti-atherosclerotic properties and they influence nitric oxide (NO) production. The aim of this study was to determine NO, levels in post-menopausal women and the effect of estrogen/estrogen-progesteron therapy (ET/EPT) LY2606368 on plasma NO levels. Eighty postmenopausal women (M(1)) comprising 26 with surgically induced menopause (ET(1)), mean age 50.9 +/- 2.9 yr, and 54 with physiological menopause (EPT(1)), mean age 50.5 +/- Evofosfamide clinical trial 3.0 yr, were studied. Forty healthy pre-menopausal women, mean age 48.3 +/- 2.3 yr were the controls (C). The post-menopausal women

were treated for 4 months: group ET, with ET and group EPT(1) with EPT. Serum estradiol (E(2)), FSH, NO(x) and lipid profile before and after therapy were measured. NO, levels were lower in group M, than in group C (8.75 +/- 1.57 vs 10.27 +/- 2.62, p<0.01) and increased after hormonal therapy (10.65 +/- 2.38). NO(x) concentration showed significant positive correlation with E(2) (r=0.25, p<0.05). Total cholesterol (240.9 +/- 43.2), LDL-cholesterol (155.2 +/- 33.6), triglycerides (124.8 +/- 54.1), and apolipoprotein B (1.52 +/- 0.33) were higher in group M1 than in group C (223.1 +/- 44.3, 133.0 +/- 38.2, 108.3 +/- 52.9, and 1.12 +/- 0.36, respectively), and after ET/EPT they decreased to the values observed in group C. There were no correlations between NO and lipids or apolipoproteins. Conclusions: ET and EPT improve NO(x) synthesis and endothelial relaxation. Medroxyprogesterone acetate added to E2 does not significantly influence NO(x) levels.”
“Objective: Centralized adiposity, insulin resistance, excess iron, and elevated oxidative stress place postmenopausal women at risk for atherosclerotic cardiovascular disease (CVD).

This conditional expectation is computed from estimates of the pr

This conditional expectation is computed from estimates of the probability density function of the light collection process and a model of the kinetics of photon interactions in the detector module. Our algorithm is capable of handling coincidences where each annihilation photon interacts any number of times within the detector module before being completely absorbed or escaping. In the case of multiple interactions, our Geneticin nmr algorithm estimates the position of the first interaction for each of the coincidence photons. This LOR estimation algorithm is developed

for a high-resolution PET detector capable of providing depth-of-interaction information. Depth of interaction is measured by tailoring the light shared between two adjacent detector elements. These light-sharing crystal pairs are referred to as dMiCE and are being developed in our lab. Each detector element in the prototype system has a 2 x 2 mm(2) cross section and is directly coupled to a micro-pixel avalanche photodiode (MAPD). In this set-up, the distribution of the ratio of light shared between two adjacent detector

elements can be expressed as a function of GSK3326595 Epigenetics inhibitor the depth of interaction. Monte Carlo experiments are performed using our LOR estimation algorithm and compared with Anger logic. We show that our LOR estimation algorithm provides a significant improvement over Anger logic under a variety of parameters.”
“The aim of this study was to apply a behavioural stress paradigm for studying the neural mechanisms underlying stress-induced arrhythmias, and to test whether such arrhythmias could be suppressed by systemic administration of 8-OH-DPAT, a 5-HT1A agonist possessing central

sympatholytic properties. The study was conducted on adult male rats instrumented for telemetric recordings of ECG, body temperature and locomotor activity. In the first experiment, GS-1101 PI3K/Akt/mTOR inhibitor rats were subjected to social defeat after either 8-OH-DPAT (100 mu g/kg s.c.) or vehicle injection. In the second experiment, prior to vehicle/8-OH-DPAT administration, animals were pre-treated with zatebradine, a blocker of the pacemaker current. 8-OH-DPAT caused prolongation of basal RR interval, increase in locomotion and hypothermia. Subjecting vehicle-treated animals to social defeat caused shortening in RR interval, increase in locomotor activity and hyperthermia, and provoked the occurrence of premature ventricular and supraventricular beats; all these effects were substantially attenuated by 8-OH-DPAT. Zatebradine caused prolongation of RR interval, In zatebradine/vehicle-treated rats, the incidence of ventricular and supraventricular premature beats during defeat increased 2.5-fold and 3.5-fold, respectively. 8-OH-DPAT administered after zatebradine significantly reduced these stress-induced arrhythmias.


“Background: Ocular involvement in facial burns may lead t


“Background: Ocular involvement in facial burns may lead to significant long-term morbidity. The aims of this study were to analyse the epidemiology, ALK inhibitor management and outcomes of ocular burn injuries, as well as to identify risk factors for developing early and late ocular complications. Methods: A retrospective medical chart review was conducted for 125 patients with ocular burns who were admitted to the Victorian Adult Burns Service (VABS), from November 2000 to January 2010. Univariate analyses was utilised to identify demographic and injury related variables associated

with early and late complications. Results: The majority of patients were male (n = 101, 80.8%), and the mean selleck products (range) age was 40.7 (15-86) years. The most common mechanism was flame burns (n = 77, 61.6%), and most were accidental (n = 114, 91.2%). Early ocular complications occurred in 50 (40.0% [95% CI: 31.3%-49.1%]) patients, with the commonest being visual loss (n = 39, 31.2%). Chemical burns, ocular discomfort, peri-orbital oedema, corneal injury, as well as eyelid and facial burns of increasing severity were associated with developing

an early complication. Late ocular complications occurred in 19 (15.2% [95% CI: 9.4%-22.7%]) patients, with visual loss being the most frequent (n = 13, 10.4%). Chemical burns, ocular discomfort, corneal injury of increasing severity, visual loss on presentation, ectropion, as well as eyelid burns of increasing depth

were associated with late morbidity. Conclusion: Chemical burns, ocular discomfort, as well as corneal injury and eyelid burns of increasing severity were risk factors for both early VX-770 chemical structure and late ocular complications. Level of evidence: III (retrospective comparative study). Crown Copyright (C) 2014 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. All rights reserved.”
“Another person’s eye gaze often triggers our attention such that we follow their direction of gaze. We investigated how the neural mechanisms for processing eye-gaze and spatial attention interact using magnetoencephalography (MEG) in young adults. In a cueing paradigm, a face was presented centrally with left or right averted eye-gaze serving as the directional cue in the eye-gaze condition. In the peripheral cue condition, the face with a straight gaze was presented with a cue stimulus appearing on the left or right of the face. Cue validity was 50%. MEG was recorded during the two conditions and event-related beamforming was used to determine the timing and location of the brain activity related to the two types of cueing. The MEG data indicated that generally the network of activation in response to our two cue types was similar.


“Due to the high importance of biofilms on river ecosystem


“Due to the high importance of biofilms on river ecosystems, assessment of pesticides’ adverse effects is necessary

but is impaired selleck products by high variability and poor reproducibility of both natural biofilms and those developed in the laboratory. We constructed a model biofilm to evaluate the effects of pesticides, consisting in cultured microbial strains, Pedobacter sp. 7-11, Aquaspirillum sp. T-5, Stenotrophomonas sp. 3-7, Achnanthes minutissima N71, Nitzschia palea N489, and/or Cyclotella meneghiniana N803. Microbial cell numbers, esterase activity, chlorophyll-a content, and the community structure of the model biofilm were examined and found to be useful as biological factors for evaluating the pesticide effects. The model biofilm was formed through the cooperative interaction of bacteria and diatoms, and a preliminary experiment using the herbicide atrazine, which inhibits diatom

growth, indicated that the adverse effect on diatoms Selleckchem Alvocidib inhibited indirectly the bacterial growth and activity and, thus, the formation of the model biofilm. Toxicological tests using model biofilms could be useful for evaluating the pesticide effects and complementary to studies on actual river biofilms.”
“The increasing occurrence of drug-resistant bacterial infections in the clinic has created a need for new antibacterial agents. Natural products have historically been a rich source of both antibiotics and lead compounds for new antibacterial agents. The natural product simocyclinone D8 (SD8) has been reported to inhibit DNA gyrase, a validated antibacterial drug target,

by a unique catalytic inhibition mechanism of action. In this work, we have prepared simplified flavone-based analogues inspired by the complex natural product and evaluated their inhibitory activity and mechanism of action. While two of these compounds do inhibit DNA gyrase, they do so by a different mechanism of action than SD8, namely DNA intercalation. (C) 2013 Elsevier Ltd. All rights reserved.”
“In explicitly correlated coupled-cluster singles and doubles [CCSD(F12)] calculations, the basis set incompleteness error in the double excitations is reduced to such an extent that the error in see more the Hartree-Fock energy and the error in the single excitations become important. Using arguments from perturbation theory to systematically truncate the coupled-cluster singles and CCSD(F12) Lagrangians, a series of coupled-cluster models are proposed and studied that reduce these basis set incompleteness errors through additional single excitations into a complementary auxiliary basis. Convergence with model and size of complementary basis is rapid and there appears to be no need to go beyond second-order models. Our iterative second-order approach is a slight improvement over the existing noniterative approach, but its main advantage is that it is suitable for response theory.

When compared to the matched indication cohort, short- and long-t

When compared to the matched indication cohort, short- and long-term mortality risk with splenectomy was not increased.\n\nConclusion: Regardless of indication, the adjusted short- and long-term risk of death for splenectomised patients was higher than the general population. Most of this risk seems to be due to the underlying splenectomy indication and not to splenectomy alone. (C) 2009 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.”
“Background Development

of more than one primary melanoma in a sole patient is frequent, accounting for 1.28.2% SRT2104 nmr of melanoma patients in most recent series. Objective and methods Clinical, histological and epidemiological characteristics of 270 multiple primary melanomas patients were reviewed. Results Two-hundred and seven patients (76.7%) had two melanomas, whereas in the remaining 63 the number of primary ranged from three to eight; on the whole, 639 multiple primary melanomas were identified. Synchronous melanomas developed more frequently

in patients with three or more lesions; median age was significantly lower in the group of patients with more than three melanomas than in the others. Mean Breslows thickness significantly decreases (P < 0.001) from the first (1.77 +/- 1.76 mm) to subsequent primaries (0.85 +/- 1.25 mm for the second and 0.66 +/- 0.48 mm for the YH25448 clinical trial third melanoma). Percentage of in situ melanomas was 5.6% as first diagnosis, but increased to 24.8% for the second melanoma; number of nodular melanomas was significantly lower for succeeding diagnosis. Selleck FK228 AJCC stage at diagnosis showed a statistical prognostic significance, whereas outcome and survival did not depend on the number of primary lesions. Multivariate

analysis confirmed the prognostic role of Breslows thickness, ulceration, gender and patient age, and the better prognosis of patients with multiple melanomas, respect to those with single primary melanoma. Conclusions Skin examination and long-term follow-up are mandatory for patients affected by melanoma, with the intent to promptly diagnose not only a disease progression but also possible new primary melanomas.”
“Background: Interprofessional education (IPE) is being led by a driving force of teaches who advocate for the importance of this learning within health and social care professional curriculum. Many of these leaders have additional uni professional teaching responsibilities.\n\nAims: This study aimed to explore the impact of leading an IPE curriculum on teachers, who were at the forefront of establishing a new IPE curriculum in the east midlands, UK.\n\nMethods: The prospective study used the principles of grounded theory to analyse the educator’s experiences. The study included teachers who work from academic university posts and those who teach from within practice.

Data regarding the number of BCS patients treated with different

Data regarding the number of BCS patients treated with different treatment modalities over time were collected. The proportions of BCS patients undergoing various treatment modalities were calculated. RESULTS: Overall, 300 of 3005 papers initially retrieved were included. These papers included 23352 BCS patients treated with different treatment modalities. The treatment modalities include surgery (n = 8625), interventional treatment (n = 13940), DNA Synthesis inhibitor surgery combined with interventional treatment (n = 363),

medical therapy (n = 277), other treatments (n = 91), and no treatment (n = 56). After 2005, the number of BCS patients treated with surgery was drastically decreased, but the number of BCS patients who underwent interventional treatment was almost maintained. Shunt surgery was the most common type of surgery (n = 3610). Liver transplantation was rarely employed (n = 2). Balloon angioplasty with or without stenting was the most common type of interventional treatment (n = 13747). Transjugular intrahepatic portosystemic https://www.selleckchem.com/products/Adriamycin.html shunt was rarely employed (n = 81). CONCLUSION: Selection of treatment modalities for BCS might be different between China and

Western countries. Further work should be necessary to establish a unanimous therapeutic strategy for BCS in China. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.”
“After demonstrating chronic weight loss, prostration, and muscle flaccidness, a captive-bred 9-mo-old boa constrictor (Boa constrictor constrictor) died and was submitted for necropsy. Along the spinal column there were multiple, yellowish white, macroscopic nodules of 1-5 mm in diameter Panobinostat in the ventral side of the vertebral body and in the intervertebral spaces. Severe multifocal necrotizing osteomyelitis associated with granulomatous inflammation was the main histologic finding in the vertebral column. In the liver, there was discrete but similar granulomatous changes. Positive anti-Salmonella immunostaining was observed in the spinal column and in the liver. Salmonella

enterica serovar Derby was isolated from fragments of the spinal column. These bacteria are important cause of disease in captive reptiles.”
“Single-molecule manipulation methods provide a powerful means to study protein transitions. Here we combined single-molecule force spectroscopy and steered molecular-dynamics simulations to study the mechanical properties and unfolding behavior of the small enzyme acylphosphatase (AcP). We find that mechanical unfolding of AcP occurs at relatively low forces in an all-or-none fashion and is decelerated in the presence of a ligand, as observed in solution measurements. The prominent energy barrier for the transition is separated from the native state by a distance that is unusually long for alpha/beta proteins.

The Ra-D1 is a novel locus described in wheat The relative antho

The Ra-D1 is a novel locus described in wheat. The relative anthocyanin contents (01)530) in different

parts of Trichostatin A wheat plant and expression level of the anthocyanin biosynthesis (AB) structural genes in auricles were compared between ‘i:S29Ra’ and ‘S29′. In auricles of ‘i:S29Ra’, the OD530 (optical density) value was twice higher and transcription of some AB structural genes was increased in comparison with ‘S29′, suggesting regulatory role of the Ra gene in anthocyanin biosynthesis in wheat.”
“Rubi Fructus, a traditional Chinese medicine, was considered as an anti-inflammatory agent in folk medicine. In the present study, we investigated the signalling pathways involved in the anti-inflammatory effects of goshonoside-F5 (GF5), isolated from Rubi Fructus, in peritoneal macrophages

and examined its therapeutic effect in a mouse endotoxic shock model. GF5 decreased NO and PGE(2) production in LPS-stimulated macrophages (IC50 = 3.84 and 3.16 mu M). This effect involved the suppression of NOS-2 and COX-2 gene expression at the transcriptional level. Examination of the effects of GF5 on NF-kappa B signalling demonstrated that it inhibits the phosphorylation of I kappa B-alpha and I kappa B-beta, blocking their degradation and the nuclear translocation of the selleck inhibitor NF-kappa B p65 subunit. Moreover, inhibition of MAPK signalling was also observed, and phosphorylation of p38 and JNK was suppressed in the presence of GF5. Inflammatory cytokines, including IL-6 and TNF-alpha, were down-regulated by this compound after activation with LPS (IC50 = 17.04 and 4.09 mu M).

Additionally, GF5 (30 and 90 mg/kg, i.p.) significantly reduced the circulating cytokine levels (IL-6 and TNF-alpha) and increased survival in a mouse model of endotoxemia. These results show that GF5 significantly inhibits the pro-inflammatory response induced by LPS, both in vitro and in vivo. Our results provide a strong pharmacological basis for further understanding the potential therapeutic role of GF5 in inflammatory disease and shed new light on the bioactivity of ent-labdane diterpene glucoside. (C) 2014 Elsevier B.V. All rights reserved.”
“Purpose\n\nTo Cl-amidine supplier analyze the prognostic impact of immunophenotyping in patients with multiple myeloma ( MM).\n\nPatients and Methods\n\nWe have prospectively analyzed the prognostic impact of antigenic markers, assessed by multiparametric flow cytometry, in a series of 685 newly diagnosed MM patients that were uniformly treated according to the GEM 2000 protocol.\n\nResults\n\nOur results show that expression of both CD19 and CD28 as well as the absence of CD117 were associated with a significantly shorter progression free-survival ( PFS) and overall survival ( OS). Interestingly, the CD28 expression correlated with t(14; 16) and del(17p), while CD117-negative patients were associated with t( 4; 14) and del( 13q).

CC was

more likely to be bilateral at knees and wrists bu

CC was

more likely to be bilateral at knees and wrists but unilateral at hips. MCPJ calcification was usually bilateral, and less common than CC at knees, hips, wrists, and symphysis pubis. Unlike that previously reported, CC commonly occurred without any knee involvement; 44.4% of wrist CC, 45.9% of hip CC, 45.5% of symphysis pubis CC, and 31.3% of MCPJ calcification occurred in patients without knee CC. Those with meniscal or hyaline articular cartilage CC had comparable ages (P = 0.21), and neither preferentially associated with fibrocartilage CC at distant joints.\n\nConclusions: CC visualized on a plain radiograph commonly occurs at other joints in the absence of radiographic knee CC. Therefore, Selleckchem HSP990 knee radiographs

alone are an insufficient screening test for CC. This has significant implications for clinical practice, for epidemiologic and genetic studies of CC, and for the definition of OA patients with coexistent crystal deposition.”
“OBJECTIVES To evaluate the utility of using Internet search trends data to estimate kidney stone occurrence and understand the priorities of patients with kidney stones. Internet search trends data represent a unique resource for monitoring population self-reported illness PF 00299804 and health information-seeking behavior.\n\nMETHODS The Google Insights for Search analysis tool was used to study searches related to kidney stones, with each search term returning a search volume index (SVI) according to the search frequency relative to the total search volume. SVIs for the term, “kidney stones,” were compiled by location and time parameters and compared with the published weather and stone prevalence data. Linear regression analysis was performed to determine the association of the search interest score with known epidemiologic variations in kidney stone

disease, including latitude, temperature, season, and state. The frequency of the related search terms was categorized by theme and qualitatively analyzed.\n\nRESULTS The SVI correlated significantly with established kidney stone epidemiologic www.selleckchem.com/products/oicr-9429.html predictors. The SVI correlated with the state latitude (R-squared = 0.25; P < .001), the state mean annual temperature (R-squared = 0.24; P < .001), and state combined sex prevalence (R-squared = 0.25; P < .001). Female prevalence correlated more strongly than did male prevalence (R-squared = 0.37; P < .001, and R-squared = 0.17; P = .003, respectively). The national SVI correlated strongly with the average U. S. temperature by month (R-squared = 0.54; P = .007). The search term ranking suggested that Internet users are most interested in the diagnosis, followed by etiology, infections, and treatment.\n\nCONCLUSIONS Geographic and temporal variability in kidney stone disease appear to be accurately reflected in Internet search trends data.

Whether CRP genetic variants affect lipid metabolism is of import

Whether CRP genetic variants affect lipid metabolism is of importance to investigate. A community-based study population including 2,731 adult

subjects aged 18-62 years was used to evaluate the association of CRP gene with dyslipidemia and five tagging SNPs (tagSNPs) were genotyped. Multiple logistic regression was applied to further evaluate relationships between the SNPs and lipid metabolism abnormality and general linear model was applied to compare plasma lipid levels between genotypes. Association analyses indicated that recessive model of SNPs rs876537 and rs4285692 had significant association with elevated HDL after adjustment for covariates. Odds ratio (OR) of rs876537 were 0.60 for HDL bigger than 1.54 versus 1.04-1.54 mmol/L (P = 0.011), as well as, ORs were 0.617 for HDL bigger than 1.83 versus a parts ASP2215 ic50 per thousand currency sign1.35 mmol/L (P = 0.002) and 0.724 for HDL = 1.59-1.83 versus a parts per thousand currency sign1.35 mmol/L (P = 0.028) respectively. OR of rs4285692 was

0.634 for HDL bigger than 1.83 versus a parts per thousand currency sign1.35 mmol/L (P = 0.027). Further stratification analysis found significant associations of rs10737175 with elevated HDL ( bigger than 1.54 vs. 1.04-1.54 mmol/L, OR 0.629 and P = 0.027) and elevated TG (a parts per thousand yen1.70 vs. smaller than 1.70 mmol/L, ORs of additive selleck screening library and dominant models were 0.628, 0.545 and P values were 0.006, 0.003 respectively) in female. rs4285692 was significantly associated with elevated LDL (a parts per thousand yen3.37 vs. smaller than 3.37 mmol/L), ORs equaled to 1.532, 2.281 for additive model and recessive model and P values were 0.028, 0.024 respectively in male. Furthermore, quantitative trait analysis indicated the variation T to C of rs876537 significantly affect decreased plasma HDL level (P = 0.014). Our findings suggest that CRP genetic polymorphisms independently had positive association with the risk of HDL, LDL and TG elevating

and further replication in other large population and biological function research would be warranted.”
“Introduction. Triple renal pelvis is an extremely rare variation Natural Product Library of the renal collecting system. To the authors’ knowledge, bilateral triple renal pelvis has not yet been described in the literature. Case report. A 55-year-old man was hospitalized due to papillary bladder cancer, detected on ultrasonography. As incidental finding, intravenous urography revealed bilateral triple renal pelvis. Six weeks after transurethral resection of the bladder tumor (TURB) the patient was admitted again, for the second TURB. Computed tomography-urography confirmed the presence of bilateral triple renal pelvis. Conclusion. The unique case of bilateral triple renal pelvis was presented as an extremely rare variation of the renal collecting system.

Taken together, iNOS is upregulated after transplantation of FG,

Taken together, iNOS is upregulated after transplantation of FG, leading to excessive RNS formation, JNK activation, mitochondrial dysfunction, and severe graft injury. The iNOS inhibitor 1400W could be an effective therapy for primary nonfunction of fatty liver grafts. (C) 2012

Elsevier Inc. All rights reserved.”
“Stable graft function in the absence of maintenance immunosuppressive therapy (IS) is observed in some kidney recipients and in approximately 20% of liver recipients. Identification of these “operationally tolerant” recipients would constitute a major achievement in that it would allow for the widespread application of IS minimization strategies in the clinic. The use of gene expression profiling has provided promising results in the characterization buy Saracatinib of tolerant transplant recipients. We review here the available information on the use of

transcriptional biomarkers to identify transplantation tolerance in the clinic and discuss some of the limitations of such strategy.”
“Objective. This study’s aim was to assess the effect of highly active antiretroviral drugs (HAART) on benign lymphoepithelial cysts (BLEC) of the parotid and ranulas.\n\nStudy design. The records of 10 HIV-positive patients who presented with BLEC were reviewed, and 14 HIV-positive patients who presented with ranulas were prospectively enrolled. Patients in both groups selleck received the same combination of HAART Selleckchem Gilteritinib and were clinically evaluated for the first 3 months. Patients with ranulas were followed for an additional 3 months. A clinical reduction in the size of the lesions was considered to be a positive outcome.\n\nResults. All parotid glands with BLEC resolved within 3 months. No positive results were observed in ranulas during the first 3

months. However, some of the ranulas displayed a positive result after the initial 3 months of HAART.\n\nConclusions. In contrast to BLEC, ranulas in HIV-positive patients seem to present a mixed and delayed response to HAART. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:205-210)”
“Background Hard-to-reach population subgroups are typically investigated using convenience sampling, which may give biased estimates. Combining information from such surveys, a probability survey and clinic surveillance, can potentially minimize the bias. We developed a methodology to estimate the prevalence of undiagnosed HIV infection among men who have sex with men (MSM) in England and Wales aged 16-44 years in 2003, making fuller use of the available data than earlier work.\n\nMethods We performed a synthesis of three data sources: genitourinary medicine clinic surveillance (11 380 tests), a venue-based convenience survey including anonymous HIV testing (3702 MSM) and a general population sexual behaviour survey (134 MSM).