Pediatric patients

with acute myelogenous leukemia (AML)

Pediatric patients

with acute myelogenous leukemia (AML) have frequent episodes of fever necessitating the use of antibiotics such as cefepime. We evaluated the association of cefepime and other beta-lactam antibiotic exposures with all cause in-hospital mortality in pediatric AML patients.

Methods: We performed a retrospective cohort study using the Pediatric Health Information System, all inpatient database. Exposure to cefepime, ceftazidime, antipseudomonal penicillin, and carbapenems was evaluated for each 30-day period within the first year from AML diagnosis. Cox regression analysis was used to compute hazard ratios (HR) for death adjusting for demographics, clinical variables, and clustering by hospital. The final

Etomoxir analysis used 2 distinct time periods (0-3 months and >3-12 months) to account for variation in proportional hazards over time.

Results: No differences between the HRs for mortality were observed for the time period of 0 to 3 months (cefepime vs. ceftazadime: HR = 1.33, 95% CI: 0.70-2.52; cefepime vs. antipseudmonal penicillin: HR = 0.86, 95% CI: 0.34-2.13; and cefepime vs. carbapenems: HR = FRAX597 datasheet 1.08, 95% Cl: 0.50-2.35) or the time period of >3 to 12 months after diagnosis (cefepime vs. ceftazadime: HR = 1.29, 95% CI: 0.53-3.15; cefepime

vs. antipseudomonal penicillin: HR=1.08, 95% CI: 0.44-2.66; and cefepime vs. carbapenerns: HR = 1.03, 95% CI: 0.45-2.33).

Conclusions: In this cohort of pediatric AML patients, cefepime exposure in the 30 days preceding death did not result in all increased mortality risk when compared with ceftazidime, antipseudomonal penicillins, or carbapenems.”
“2-amino-4,5-imidazoledicarbonitrile Bucladesine concentration (AIDCN) has been considered as a promising material toward organic nonvolatile memory application. Aiming for achieving a deep understanding of the origins of the bistable electric behavior of the AIDCN-based memory devices and, in particular, of the reported drastic improvement of the device performance by replacement of the Al top-electrode material with Ag, we elucidated the electronic structures of the interfaces between AIDCN and electrode metals (Ag and Al), as well as the bulk of AIDCN, by photoemission spectroscopy (PES). Ionization energy of AIDCN was determined to be 6.6 eV that was also certified by photoelectron yield spectroscopy measurements.

The results of this study suggested that mutations in GPR3 are no

The results of this study suggested that mutations in GPR3 are not a common cause of POF in Chinese women. (C) 2009, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.”
“Acute cardiovascular events have repeatedly been reported to occur during the intraoperative presentation of the urinary tract with toluidine blue (TB). We here assessed the minimum TB dose required, and its safest and most suitable form of intravenous administration for the intraoperative staining of the ureters in rats.

TB (0.13, 0.4, 1.3, or 4.0 mg/kg) was administered to anesthetized rats either

by intravenous injection within 1 min or by infusion within 10 min. During the experiments, biomonitoring parameters such as electrocardiograms (ECGs) and mean arterial blood pressure (MAP) were recorded, blood gas analysis was performed,

and methemoglobin measured. Tissue injury was assessed from released plasma enzyme GM6001 research buy activities and histopathologically. GS-7977 The intraoperative staining of the ureters was documented photographically, and total urinary excretion and final urine/plasma TB concentrations were determined.

Parameters of blood gas analysis, methemoglobin concentrations, and markers of tissue injury were slightly affected by the two highest TB doses but not at all by the lower ones. At doses of a parts per thousand yen0.4 mg/kg, ureters were stained sufficiently. Staining was more intense, and urine excretion of TB higher on average when the dye was injected. The 1-min injection of a parts per thousand yen1.3 mg TB/kg strongly and temporarily decreased the MAP, while the infusions caused lesser effects. Mean ECG parameters were not affected by any TB administration, but one animal developed a temporary bundle branch block after the 1-min injection of 4.0 mg/kg.

In rats,

intravenous injection of 0.4 mg TB/kg was sufficient for the intraoperative Apoptosis Compound Library staining of the urinary tract without the risk of severe cardiovascular and hemodynamic side effects. Provided our results are transferable to humans, the administration of low TB doses could allow its safer clinical use for the intraoperative visualization of the ureters.”
“Hypothesis Oral supplementation with mitoquinone (MitoQ) prevents gentamicin-induced ototoxicity in guinea pigs.

Background Antioxidants have been shown to protect against aminoglycoside (AG)-induced ototoxicity. MitoQ, a mitochondria-targeted derivative of the antioxidant ubiquinone, is attached to a lipophilic triphenylphosphonium (TPP) cation, which enables its accumulation inside the mitochondria several hundred-fold over the untargeted antioxidant. MitoQ has improved bioavailability and can reach most tissues and has been used in Parkinson’s disease and hepatitis C human trials, which demonstrated that MitoQ can be safely used in humans. Thus, MitoQ is a promising novel therapeutic approach for protecting against AG-induced ototoxicity.

The incidence of DVT in the OMS patient, recent prophylactic stra

The incidence of DVT in the OMS patient, recent prophylactic strategies, and their effectiveness will be reviewed. (C) 2009 American Association of Oral ana Maxillofacial Surgeons J Oral Maxillofac Surg 67:1416-1419, 2009″
“Nonanastomotic biliary strictures (NAS)

cause significant morbidity post liver transplantation. Timing of stricture development varies considerably, but the relationship between timing of stricture onset and aetiology has not been fully elucidated. Database analysis was performed on all adult patients undergoing liver transplantation between 1st January 1990 and 31st May 2008. Diagnosis of NAS required demonstration on at least two radiological studies. Early NAS were defined as developing <1 year post transplant (minimum 1-year follow-up) and late NAS developing >1 year post transplant (minimum 10-year follow-up). Ninety-six of 397 patients developed NAS (24%); 54 were early-onset BIX 01294 ic50 NAS (56%) and 42 late-onset NAS (44%). find more Primary sclerosing cholangitis (PSC) was the only risk factor for NAS overall (P = 0.001). However,

when patients with PSC were excluded, older donor age was a significant risk for NAS (P = 0.003). Early-onset NAS were associated with advanced donor age (P = 0.02), high MELD score (P = 0.001) and ABO-identical grafts (P = 0.02), whereas late-onset NAS were associated with PSC (P = 0.0008), bilio-enteric anastomosis (P = 0.006) and tacrolimus (P = 0.0001). Advanced donor age is a significant risk for NAS in patients without PSC. Importantly, aetiology of NAS varies depending on time to stricture development, suggesting early-onset and late-onset NAS https://www.selleckchem.com/products/Pazopanib-Hydrochloride.html may have different pathogenesis.”
“Aims: The primary aim of this study was to compare the efficacy of smoking cessation treatment using a combination of nicotine patch and bupropion

vs. nicotine patch and placebo bupropion. A secondary aim was to investigate whether the efficacy of bupropion is moderated by belief about whether one is receiving active or placebo medication.

Methods: Participants were recruited from a residential substance abuse treatment program and the community. We randomly assigned 148 smokers with between 2 and 12 months of alcohol abstinence to nicotine patch plus bupropion or nicotine patch plus placebo. All participants also received seven counseling sessions.

Results: At follow up, differences between medication conditions were not significant. Seven-day point prevalence quit rates in the patch plus bupropion vs. patch plus placebo conditions at week 24 were 6% and 11%, respectively. Differences between groups on prolonged abstinence and time to first smoking lapse were also not significant. However, among participants who received bupropion, those who accurately “”guessed”" that they were receiving bupropion were more likely to remain abstinent than those who incorrectly believed they were receiving placebo.

Especially cholestatic

Especially cholestatic find more liver diseases (primary biliary cirrhosis and primary sclerosing cholangitis) appear to be different from other chronic liver

diseases with regards to pathogenesis. Portal fibroblasts located in the connective tissue surrounding bile ducts appear to be different from hepatic stellate cells with regards to expression of marker proteins and response the profibrogenic and mitogenic stimuli. In addition there is increasing evidence for a cross talk between activated cholangiocytes and portal myofibroblasts. Several animal models have improved our understanding of the mechanisms underlying these chronic liver diseases. In the present review, we discuss the current concepts and ideas with regards to myofibroblastic cell populations, mechanisms of fibrosis, summarize characteristic histological findings and currently employed animal models selleck compound of autoimmune and cholestatic liver disease. (C) 2011 Elsevier Ltd. All rights reserved.”
“This article contains a review of the most significant contributions to pediatric cardiology and congenital heart disease reported in publications between September 2009 and August 2010. The review focuses on imaging techniques, new treatment for pulmonary arterial hypertension in pediatric patients, and therapy

in general (e.g. hybrid treatment and surgical treatment). With regard to imaging techniques, the review highlights the increasing application of congenital heart disease diagnosis during fetal life, the introduction of new echocardiographic techniques (e.g. tissue Doppler imaging, two-dimensional speckle-tracking imaging and three-dimensional echocardiography) into routine clinical practice, and the growing use of cardiac CT and magnetic resonance imaging in diagnosis and the assessment of cardiac function, respectively. The role played by cardiac interventions continues to increase and cardiac surgery is becoming more advanced and has, in some cases, been combined with hybrid techniques. However, there are still a number HSP990 concentration of controversial

issues in cardiac surgery that have not yet been resolved, such as whether or not fenestration should be used with Fontan surgery, the optimum type of correction for hypoplastic left heart syndrome, and the best conduit for pulmonary artery replacement.”
“Numerous paediatric liver diseases from different origins may be complicated by development of liver fibrosis and progression to cirrhosis. Although fibrogenesis, which represents a major driving force for the development of liver fibrosis, has common tracts whatever the aetiology, liver fibrosis has different histopathological patterns in paediatric liver disease. In these diseases management choices may depend upon the stage of liver fibrosis. Thus, the accurate estimation of histological pattern of liver fibrosis is important for the prevention of the subsequent complications.

The aim of this review is to assess the effectiveness of colonic

The aim of this review is to assess the effectiveness of colonic stents, used as a ICG-001 supplier bridge to surgery, in the management of malignant left colonic and rectal obstruction.

Methods: We considered only randomized trials which compared stent vs surgery for intestinal obstruction from left sided colorectal

cancer (as a bridge to surgery) irrespective of their size. No language or publication status restrictions were imposed. A systematic search was conducted in Medline, Cochrane Central Register of Controlled Trials and the Science Citation Index (from inception to December 2011)

Results: We identified 3109 citations through our electronic search and 3 through other sources. Initial screening of the titles and abstracts resulted in the exclusion of 3104 citations. A further 5 citations were excluded after detailed screening of full articles. Three published studies were included in this systematic review. A total of 197 patients were included in our analysis, 97 of them had colorectal stent vs 100 who had emergency surgery. Clinical success has been defined in different manners. In included trials the clinical success rate was significantly higher in the emergency surgery group (99%) compared with the stent group (52.5%) (p < 0.00001).

There was no difference in the overall complication rate in the stent group (48.5%) vs emergency surgery group (51%) (p = 0.86). There was no difference in 30-days postoperative MS-275 concentration mortality (p = 0.97). The overall survival Crenolanib nmr was analyzed in none trial. When used as a bridge to surgery,

colorectal stents provide some advantages: the primary anastomosis rate was significantly higher in the stent group (64.9%) vs emergency surgery group (55%) (p = 0.003); the overall stoma rate was significantly lower in the stent group (45.3%) compared with the emergency surgery group (62%) (p = 0.02). There were no significant differences between the two groups as to permanent stoma rate (46.7% in stent group vs 51.8% in surgical group, p = 0.56), anastomotic leakage rate (9% in stent group vs 3.7% in surgical group, p = 0.35) and intra-abdominal abscess rate (5.1% in stent group vs 4.9% in surgical group, p = 0.97).

Conclusion: Although colonic stenting appears to be an effective treatment of malignant large bowel obstruction, the clinical success resulted significantly higher in the emergency surgery group without any advantages in terms of overall complication rate and 30-days postoperative mortality. On the other hand, the colonic stenting as a bridge to surgery provides surgical advantages, as higher primary anastomosis rate and a lower overall stoma rate, without increasing the risk of anastomotic leak or intra-abdominal abscess. However, these results should be interpreted with caution because few studies reported data on these outcomes.

Moreover, the influences of variants on the strength in different

Moreover, the influences of variants on the strength in different magnetization stages are also calculated. (C) 2011 American Institute of Physics. [doi:10.1063/1.3574923]“
“Background: Coronary artery ectasia (CAE) is associated with increased sympathetic

activity, plasma levels of inflammatory markers, and oxidative stress. These factors can also cause arrhythmias such as atrial BIX 01294 purchase fibrillation. Atrial conduction abnormalities in patients with CAE have not been investigated in terms of atrial electromechanical delay obtained by tissue Doppler echocardiography.

Methods: Ninety patients with pure CAE (n = 30), nonobstructive coronary artery disease (NO-CAD) (n = 30), and angiographically normal coronary arteries “”controls”" (n = 30) were compared in terms of electrocardiographic P-wave measurements, echocardiographic atrial electromechanical coupling (AEC) parameters, and interatrial conduction VX-680 chemical structure delay.

Results: The mean left atrium diameter in the CAE group was similar to the NO-CAD group but significantly greater than the control group (3.62 +/- 0.28 vs 3.46 +/- 0.32 vs 3.41 +/- 0.31 cm, P = 0.021). P maximum and P- wave dispersion were significantly increased in the CAE group compared to the NO-CAD group and the control group (108.6 +/- 6.6 vs 97.9 +/- 6.6 vs 93.5 +/- 6.2, P = 0.0001; 34.4 +/- 7.6 vs

23.2 +/- 7.8 vs 19.4 +/- 7.7 ms, P < 0.0001). Mitral AEC, septal AEC, and tricuspid AEC were significantly higher in the CAE group than the NO-CAD group

and the control group (68 +/- 4.5 vs 57 +/- 4.5 vs 53 +/- 4.6 ms, P < 0.0001; 50.7 +/- 7 vs 42.7 +/- 7 vs 41.7 +/- 7.2 ms, P = 0.0001; 47 +/- 6.7 vs 39.1 +/- 6.7 vs 38.1 +/- 6.6 ms, P < 0.0001). Interatrial conduction delay was significantly increased in the CAE group compared to the NO-CAD group and the control group (21 +/- 5.5 vs 17.8 +/- 5.6 vs 15 +/- 5.6 ms, P < 0.0001). The correlation analysis demonstrated that the interatrial conduction delay and P- wave dispersion (Pd) were positively correlated with number of ectatic segments (ESN) (r = 0.41, P = 0.024 vs r = 0.49, P = 0.006). Stepwise multiple linear regression analysis revealed that the ESN was Proteasome inhibitor the only independent determinants of interatrial conduction delay (P = 0.024).

Conclusion: Pd and interatrial conduction delay are prolonged in patients with CAE compared to NO-CAD patients and the healthy controls. (PACE 2011; 34: 1468-1474)”
“Mature pollen is very sensitive to cold stress in chilling-sensitive plants. Plant WRKY DNA-binding transcription factors are key regulators in plant responses to abiotic and biotic stresses. Previous studies have suggested that WRKY34 (At4g26440) gene might be involved in pollen viability, although the mechanism involved is unclear.

(C) 2010 American Institute of Physics [doi:10 1063/1 3493113]“<

(C) 2010 American Institute of Physics. [doi:10.1063/1.3493113]“
“Background: Phytosterol supplementation of 2 g/d is recommended by the National Cholesterol Education Program to reduce LDL cholesterol. However, the effects of different intakes of phytosterol on cholesterol metabolism are uncertain.

Objective: We evaluated the effects of 3 phytosterol intakes on whole-body cholesterol metabolism.

Design: In this placebo-controlled, HM781-36B crossover feeding

trial, 18 adults received a phytosterol-deficient diet (50 mg phytosterols/2000 kcal) plus beverages supplemented with 0, 400, or 2000 mg phytosterols/d for 4 wk each, in random order. All meals were prepared in a metabolic kitchen; breakfast and dinner on weekdays were eaten on site. Primary outcomes were fecal cholesterol excretion and intestinal cholesterol absorption measured with stable-isotope tracers and serum lipoprotein concentrations.

Results:

Phytosterol intakes (diet plus supplements) averaged 59, 459, and 2059 mg/d during the 3 diet periods. Relative to the 59-mg diet, the 459-and 2059-mg phytosterol intakes significantly (P < 0.01) GW4869 nmr increased total fecal cholesterol excretion (36 +/- 6% and 74 +/- 10%, respectively) and biliary cholesterol excretion (38 +/- 7% and 77 +/- 12%, respectively) and reduced percentage intestinal cholesterol absorption (-10 +/- 1% and -25 +/- 3%, respectively). Serum LDL cholesterol declined significantly only with the highest phytosterol dose (-8.9 +/- 2.3%); a trend was observed with the 459-mg/d dose (-5.0 +/- 2.1%; P = 0.077).

Conclusions: Dietary phytosterols in moderate and high doses favorably alter whole-body cholesterol metabolism in a dose-dependent manner. A moderate phytosterol intake (459 mg/d) can be obtained in a healthy

diet without supplementation. This trial was registered at clinicaltrials. gov as NCT00860054. Am J Clin Nutr 2010; 91: 32-8.”
“O-antigen representing the O-polysaccharide chain of the lipopolysaccharide is the most variable constituent on the cell surface of Gram-negative bacteria and a player in their pathogenicity. The O-polysaccharide of Escherichia coli O109 was studied by sugar analysis and nuclear magnetic resonance spectroscopy and found to contain a rarely occurring monosaccharide, selleck screening library 2,3-diacetamido-2,3,6-trideoxy-l-mannose (l-RhaNAc3NAc). The following structure of the tetrasaccharide repeating unit of the O-polysaccharide was established, which is closely related to that of Proteus penneri O66: <formula format=”"display”" id=”"mu1″”> <file name=”"fim_745_mu1.gif”" type=”"gif”"/>

The O-antigen gene cluster of E. coli O109 was sequenced and all 14 genes found were assigned functions based on their similarity to genes from the available databases. Putative genes for synthesis of l-RhaN3N were found in E. coli O109 and their homologues in E.

The addition of exogenous antioxidant compounds from green tea di

The addition of exogenous antioxidant compounds from green tea did not produce clear effect on acrylamide formation, thus it was not useful as mitigation strategy in bakery products, likely because of the low fat content. (C) 2009 Elsevier Ltd. All rights reserved.”
“A series of poly(ether in-tide)s (PEIs) with light colors and good mechanical properties were synthesized

from 2,5-bis(3,4-dicarboxyphenoxy)biphenyl dianhydride and various aromatic ether-diamines via a conventional two-step polymerization technique that included ring-opening polyaddition at room temperature Fludarabine mouse to poly(amic acid)s (PAAs) followed by thermal imidization. The precursor PAAs had inherent viscosities ranging from 0.71 to 1.19 dL/g and were solution-cast and thermally cyclodehydrated to flexible mid tough PEI films. All of the PEI films were essentially colorless, with ultraviolet-visible absorption cutoff wavelengths between 377 and 385 nm and yellowness index values ranging from 10.5 to 19.9. These PEIs showed high thermal stabilities with glass-transition temperatures of 206-262 degrees C and decomposition temperatures (at 10% weight loss) higher than 478 degrees C. They also showed low dielectric constants of 3.39-3.72 (at 1 MHz) and low water absorptions below 0.85 wt%. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 113: 3993-4002, 2009″
“The distribution of volatile compound among lean and

fat tissues during processing of dry fermented sausages manufactured with either nitrite or nitrate was studied. Twelve volatile compounds were quantified by multiple headspace Selleckchem Selonsertib solid-phase

https://www.selleckchem.com/products/s63845.html microextraction (multiple HS-SPME) in combination with gas chromatography and mass selective detector (GC-MS) in the lean and fat tissues. The lean tissue contained the highest amount of volatile compounds derived from the lipid oxidation process (heptanal, octanal, nonanal, 1-octen-3-ol, 2-pentanone and 2-heptanone), amino acid degradation reactions (2 and 3-methylbutanal) and esterase activity (ethyl 3-methylbutanoate and ethyl hexanoate). However, the compounds pentanal and hexanal showed similar concentration in both tissues. Few differences were observed in the concentration of volatile compounds due to curing agents throughout the ripening stages although they disappeared after vacuum storage. In conclusion, the main tissue contributing to the flavour development in sausages is the intramuscular fat and the protein fraction. However, the fat tissue contributes to flavour perception due to the solubilization of volatile compounds in it. (C) 2009 Elsevier Ltd. All rights reserved.”
“Vetiver grass was used as an alternative filler in polypropylene (PP) composites in this study. Chemical treatment of vetiver grass by alkalization was carried out to obtain alkali-treated vetiver grass. It was shown that alkali-treated vetiver grass exhibited higher thermal stability than untreated vetiver grass.

Further use of the new

assay should enable replication of

Further use of the new

assay should enable replication of these results. (Circ Cardiovasc AZD2171 purchase Genet. 2013;6:82-88.)”
“We demonstrate highly efficient white and nonwhite hybrid organic light-emitting diodes (OLEDs) in which singlet and triplet excited states, generated in the recombination zone, are utilized by fluorescence and phosphorescence, respectively. The excited states are formed at a blue fluorescent light-emitting layer (LEL), and the triplets diffuse through a spacer layer to one or more phosphorescent LEL(s). A key feature enabling the triplet diffusion in such OLEDs is the use of a blue fluorescent emitter with triplet energy above, or not much below, that of the fluorescent host. Additional material properties required for triplet harvesting are outlined. At 1000 cd/m(2) a blue and yellow harvesting OLED shows 13.6% external quantum efficiency, 3.8 V, 30.1 lm/W, and color characteristics suitable for display application. High-efficiency harvesting R+G+B white, and B+G and B+R nonwhite OLEDs

are also demonstrated. The triplet-harvesting mechanism was verified in all devices by physical methods including spectral analysis, time-resolved electroluminescence, magnetic field effect, and electron paramagnetic resonance.”
“Background: Because resolution of symptoms is a primary goal of antimicrobial therapy in children with acute otitis media (AOM),

measurement of symptoms in studies or antimicrobial effectiveness in such children is important. We have developed a scale For measuring symptoms of AOM in Young selleck chemical children (AOM-SOS), and we present data oil its construct validity and responsiveness.

Methods: We followed children 3 months to 3 years of age with AOM, who were receiving antimicrobial treatment, using file AQM-SOS scale. The scale was administered at the enrollment visit, as a twice-a-day diary measure, and at the follow-up visit (days 5-7). To evaluate construct validity, we examined the correlation, at entry, between AOM-SOS scores and scores oil other measures of pain and functional status. To evaluate the scale’s find more responsiveness, we examined the change in scale scores from entry to follow-up. We also examined the levels of agreement between the scale scores and overall assessments of the children by parents.

Results: We enrolled 70 children (mean age 12.5 months’) of whom 57 returned for follow-up. The Magnitude of the correlations between file AOM-SOS scale scores and other measures of pain and functional status ranged from 0.56 to 0.84. The responsiveness of the AOM-SOS, as measured by the standardized response mean was 1.20.

Conclusions: These data support the validity and responsiveness of the AOM-SOS the scale seems to measure effectively both pain and overall functional status in young children with AOM.

I consider deficiencies in our understanding of how avian dispers

I consider deficiencies in our understanding of how avian dispersal strategies differ between social and nonsocial species, and suggest that research has focused too narrowly on population viscosity and that a broader perspective that encompasses life history and demographic processes may provide fresh insights into the evolution of avian societies.”
“Experimental results examining the photoluminescence spectra of selectively Si-doped GaAs/AlxGa1-xAs heterostructures is presented. Possible mechanisms of carrier recombination are discussed with a special emphasis on the peculiarities of excitonic photoluminescence.

Strong intensity lines in photoluminescence spectra are associated with the formation and enhancement of free exciton and exciton-polariton LDN-193189 nmr emission in the flat band region of an active i-GaAs layer. The excitonic SN-38 molecular weight PL intensity is sensitive to the excitation intensity indicating high nonlinear behavior of spectral-integrated photoluminescence intensity and exciton line narrowing. These observed phenomena may be related to the collective interaction of excitons and the interaction of excitons with emitted electromagnetic waves. The gain of the amplification of the excitonic photoluminescence intensity in the heterostructure was found to be more than 1000 times larger than the intensity of

i-GaAs active layer. The quality factor of the exciton line emission and the exciton-polariton line was found to be 3800 and 7600, respectively. (c) 2010 American Institute of Physics. [doi:10.1063/1.3483240]“
“Introduction: BI-D1870 clinical trial We estimated the diagnostic accuracy of Abrams-Griffiths

number (AG), urethral resistance factor (URA) and detrusor-adjusted mean passive urethral resistance relation factor (DAMPF) for bladder outlet obstruction (BOO) in benign prostate hyperplasia (BPH) patients. Materials and Methods: AG, URA and DAMPF were obtained by pressure-flow studies from BPH patients. Receiver operating characteristic (ROC) curves were used to analyze the diagnostic accuracy of the AG, URA and DAMPF in the diagnosis of BOO. Results: Among the 172 cases there were 154 classified as obstructed (89.5%) and 18 as unobstructed (10.5%). There were statistically significant differences in AG, URA and DAMPF between the obstructed and the unobstructed cases. The ROC curve demonstrated a similar diagnostic accuracy in the diagnosis of BOO for AG and URA values, and the least was seen for the DAMPF value. An AG cutoff of >33 provided a sensitivity of 89.61% and a specificity of 100%. A URA cutoff of >28 provided a sensitivity of 91.56% and a specificity of 100%. A sensitivity of 93.51% and the weakest specificity of 77.78% were recorded for DAMPF values of >52. AG and URA had a similar accuracy, while the efficacy of DAMPF is significantly lower in the diagnosis of BOO. Conclusions: AG or URA appeared to be the best discriminating parameters of BOO in BPH patients. The DAMPF could be used to aid the BOO diagnosis.