The second susceptibility occurs under distributing pumping condi

The second susceptibility occurs under distributing pumping conditions, during which significant reductions in groundwater elevations are apparent in narrow valleys (Fig. 8D). Again, this is most likely associated with the aquifer geometry and area of contributing recharge. As demonstrated in Fig. 7, increases in both development density and water volume per pad elicit heightened water table responses; this trend was shared by all sources. Although water table change was still undetectable for stream withdrawals at the maximum development tested,

heightened resolution and smaller scale models might allow for Staurosporine better understanding of the connection between streams and groundwater. Changes to stream flow in response to high-volume water withdrawals are spatially selleck products variable. The most significant reduction to stream flow is concentrated in one region of the model (Fig. 9, cross-sections 7, 8, and 9). Other areas of the model respond relatively uniformly to extraction scenarios, with the percent reduction in stream flow increasing with increasing development density and water volume per pad. Within the minimum development range, extracting water from both municipal pumping wells and streams

reduces stream flow by less than 2% throughout most of the stream network (Fig. 9A). At the maximum density of development, stream flow is reduced by up to 13% in a localized region (Fig. 9D). Under those same development conditions, however, stream flow reduction still remains under 3% throughout most of the stream network. Although the magnitude of stream flow reduction changes N-acetylglucosamine-1-phosphate transferase based on water source, the general spatial distribution persists (Fig. 10). Streams throughout the model respond consistently to applied withdrawal scenarios with the exception of stream cross-sections 7, 8, and 9, which exhibit nearly three times the stream flow reduction as compared to the rest of the stream segments. The combination source and stream withdrawals produced the greatest response in stream flow whereas distributed

pumping scenario results in a less dramatic response (Fig. 10). Extracting from municipal wells causes more spatial variability in stream flow reduction as compared to the combination source (Fig. 10, cross-section 8). There is a positive relationship between stream flow reduction and volume of extracted water which is determined by both well pad density and water volume per pad. Relatively uniform response throughout most of the stream segments emphasizes the markedly greater response at cross-sections 7, 8, and 9 (Fig. 9). These locations are in narrow valleys and represent streams with lesser annual discharge. These two factors dictate the capacity of groundwater–surface water exchange when withdrawals from either the aquifer or the streams are applied. Downstream parts of the stream network (Fig.

Each of the 102 samples was run on the same plate in triplicate

Each of the 102 samples was run on the same plate in triplicate. All mRNA levels are presented relative to the geometric mean of the three control genes. PHLDA2 expression levels were quantified by Real-time PCR (QPCR) against three reference genes: tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, zeta polypeptide (YWHAZ), ubiquitin C (UBC) and topoisomerase

(TOP1) [28]. Summary data are presented as mean (SD) or median (inter-quartile range) depending on whether or not the data were normally distributed. Variables not normally distributed were transformed logarithmically. To investigate associations between PHLDA2 expression and parental body composition, fetal growth rates and infants body composition, Pearson’s and Spearman’s Erastin cell line AG 14699 correlation coefficients were calculated where appropriate. Differences in PHLDA2 expression levels between different categories of maternal lifestyle were tested by t-test or one-way

analysis of variance. Neonatal anthropometric measurements were adjusted for sex and gestational age and neonatal DXA measurements were adjusted for sex, gestational age and age at DXA. As there was a question regarding sex differences in mRNA levels between male and female placentas all mRNA data were adjusted for the sex of the baby [29]. Within group Z-scores were generated for femur length and abdominal circumference at 19 and 34 weeks. Royston models were fitted to fetal measurements to create z-scores for size and conditional growth rates [30]. To investigate whether there were sex differences in the relationship between PHLDA2 expression and the variables sex was included in regression analyses as appropriate and where an interaction was found data were analyzed separately by sex. Data were analyzed using Stata

version 11.0 (Statacorp, Texas, USA). In this study, PHLDA2 gene expression was examined in the placentas from 102 infants collected as part of the Southampton Women’s Survey. All were singleton, term deliveries (37 weeks gestation or greater). 53 of the infants were male and 49 were female. Descriptive statistics are given in Table 1. Within this cohort of 102 infants, no association was click here found between the placental expression level of PHLDA2 and birth weight, placental weight or other neonatal anthropometric or body composition measurements at birth ( Table 2). Longitudinal fetal ultrasound data was available at both 19 and 34 weeks for 58 fetuses within the cohort of 102 infants. There were no differences in the birth parameters between this subset of 58 pregnancies and the 43 pregnancies without full fetal scan data (data not shown). A lower 19–34 week femur length z-score change (linear growth velocity) was significantly associated with higher term placental PHLDA2 mRNA levels ( Table 3, Fig. 1).

16 The justifications

for this sample size are based on r

16 The justifications

for this sample size are based on rationale about feasibility, precision about the mean, and variance. 16 Median bleeding times were 41.5 seconds (IQR 27.25-67.5 seconds) for Autophagy inhibitor FNA compared with 7.5 seconds (IQR 5.5-10.25 seconds) for CB and 7.5 seconds (IQR 5.5-10 seconds) for TC biopsy specimens. Bleeding time was significantly longer for FNA compared with CB (P = .0006) and was indifferent between CB and TC biopsy specimens (P = .86) ( Fig. 3). The median scoring for artifacts was 5.5 (IQR 2-6) for FNA compared with 2 (IQR 2-2) for CB and 2 (IQR 0.5-2.75) for TC biopsy specimens. CBs showed fewer artifacts than did FNAs (P = .016) and were comparable to TC biopsy specimens (P = .53) ( Fig. 4). Retrieval of CBs with a sheath did not result in more artifacts compared with direct puncture CBs (CB-1) (cryo vs cryo + sheath 2.53: P = .16, cryo vs cryo + sheath 1.75: P = .074, cryo vs cryo + sheath 1.6: P = .27) ( Fig. 4). Transduodenal CBs displayed more artifacts than did direct puncture CBs (P = .028). Histopathologic assessability was given a median score of 1 (IQR 1-2) for FNA compared with 6 (IQR 6-6) for CB and 6 (IQR 6-6) for TC biopsy specimens. The histologic assessability of CBs (CB-1) was superior over FNAs (P < .0001) and as good as that of TC biopsy specimens (P = .98) and transduodenal CBs (P = .54)

( Fig. AZD6738 5). The use of sheaths decreased the histologic assessability in comparison with direct puncture CB (CB-1) (cryo vs cryo + sheath 2.53: P = .0088, cryo vs cryo + sheath 1.75: P = .0023, cryo vs cryo + sheath 1.6: P = .0076) ( Fig. 5). CB specimens (CB-1) were larger than FNA biopsy specimens (P those = .010) but smaller than TC biopsy specimens (P = .0011) ( Fig. 6). Smaller biopsy specimens also were obtained when CB specimens were retrieved by transduodenal puncture (P = .0005) or with sheaths (cryo vs cryo + sheath 2.53: P < .0001, cryo vs cryo + sheath 1.75: P = .0001, cryo vs cryo + sheath 1.6: P < .0001) ( Fig. 6). Sample histology images are provided in Figure 7. Handling of the CB probe with standard endoscopic equipment was performed

without technical difficulties (no increased stiffness through cooling of the probe, no abnormal friction between the probe and the channel, maneuverability was not different in comparison to a 19-gauge FNA needle based on subjective impressions of the 3 examiners). Tissue could be extracted with a single pass of the CB probe for transgastric and transduodenal EUS-CB punctures in all cases. During EUS the frozen tissue appears with a discrete hyperechogenic signal and can be discriminated from the surrounding tissue endosonographically because of its different density. This can be seen as echo enhancement in the EUS image. The echo enhancement lasts as long as freezing is activated. As soon as the freezing process is deactivated, the visible EUS effect disappears.

While the precise locus of such an effect is a matter of current

While the precise locus of such an effect is a matter of current debate [30], under this perspective, it seems plausible that specific types of outcome are not represented in OFC to control selleckchem choices directly, but instead to facilitate rapid updating of stimulus-based associations

by allowing animals to accurately assign credit to a particular stimulus or choice that produced them. This in turn will enable accurate stimulus-based value estimates to be passed on to structures involved in choosing what option to select. If correct, the next pressing question is to determine what exact computations OFC performs and how the OFC resolves which elements of the world are relevant for learning. Some potential clues ATM inhibitor can be found in the study by Walton and colleagues discussed above [28]. One consequence of the loss in appropriate credit assignment observed in the OFC-lesioned animals was that it unmasked a separate, intact learning mechanism that could approximate stimulus-outcome associations by using recent choice and reward histories. It is important to note that this faculty was not a novel learning strategy acquired after the lesion; logistic regression analyses showed that these

recency-weighted choice and reward histories affected choices to an almost equal extent pre-operatively and post-operatively in the control and lesion groups. However, in the non-lesioned animals, their Aprepitant impact on behaviour was dwarfed by the much stronger influence of specific stimulus-outcome pairings. This implies that the way the OFC promotes appropriate credit assignment might therefore be to enhance current task-relevant associations rather than to suppress irrelevant ones. A number of studies have provided evidence for a role of OFC in such a faculty. For instance,

excitotoxic OFC lesions in rats cause them to have abnormally persistent latent inhibition [31]. The lesion rendered them slower to respond to a stimulus relative to unlesioned control animals when it switched from being neutral to becoming reinforced; in other words, the OFC group were impaired at upregulating attention to a familiar but previously behaviourally irrelevant stimulus once it became a useful predictor of future events. By contrast, there is little evidence that OFC lesions that spare medial OFC directly disrupt extinction learning, implying no role for this region in disengaging with a stimulus when it no longer predicts reward 15• and 32]. There is also evidence that OFC might play a role in identifying the type of decision environment the agent currently faces, a sort of ‘relevance filter’ over the vast stimulus (decision) space available to an agent at any given time [6••].

Groundwater chemistry is largely controlled by carbonate minerals

Groundwater chemistry is largely controlled by carbonate minerals. While the hydrogeochemical data are broadly

consistent with microbially mediated reductive dissolution of Fe(III) oxyhydroxides being an important mechanism releasing As into the aquifer, further work is required to unambiguously resolve the mechanism(s) and definitively explain the apparent decoupling with Fe2+. Other geochemical processes, e.g., silicate weathering and carbonate dissolution, are primarily responsible for distribution of solutes in selleck inhibitor groundwater. This project was funded by Australian Research Council Future Fellowship (Grant no. FT110100130) and Southern Cross University. The authors would like to thank Mr. Makhan Maharjan (ENPHO) for providing blanket testing data

of groundwater arsenic. We also appreciate the support of Environment and Public Health Organization (ENPHO), Nepal Red Cross Society (NRCS), Central Department of Geology (CDG) of Tribhuvan University, Department of Mines and Geology (DMG), Groundwater Resources Development Board (GRDB), HEMS Nepal and ASHA/Nepal for their kind cooperation. We acknowledge the invaluable contribution of Mr. Gyan Prakash Yadav, Ms. Lauren Hook and Er. Om Shrestha during the field study at Nawalparasi. We thank Barbara Harrison for assisting with sample quarantine and Environmental Analysis Laboratory for chemical analyses. We would like to thank anonymous reviewers for their suggestions. J. Diwakar was financially

supported by the Australian Alectinib Postgraduate Award/International Postgraduate Research Scholarship (APA/IPRS) provided by Australian Government. Salary support for Scott Johnston was provided by the Australian Research Council Future Fellowship (Grant no. FT110100130). “
“Climate change is predicted to lead to an intensification of the global hydrological cycle (Huntington, 2006). Buspirone HCl Freshwater resources in dry subtropical regions may be impacted adversely, but favorably affected at higher latitudes (Cisneros et al., 2014). Quantifying current and future freshwater availability is a critical aspect of adapting to changing and variable climate because access to sufficient freshwater is linked to food security, human health, ecosystem health, land use change, economic development, and regional conflicts (Schuol et al., 2008). The Brahmaputra River basin located in south Asia is one of the world’s major river basins for human and ecological needs and supports the livelihoods of over 66 million people through subsistence agriculture. Despite the growing attention to quantify freshwater resources and to assess the vulnerability of freshwater to global change (Alcamo and Henrichs, 2002, Faramarzi et al., 2009, Lehner et al., 2006, Oki and Kanae, 2006, Piao et al., 2010, Schuol et al., 2008, Srinivasan et al., 1998a, Srinivasan et al., 1998b and Vörösmarty et al.

Treatment with a DPP-4 inhibitor, vildagliptin improved the expre

Treatment with a DPP-4 inhibitor, vildagliptin improved the expression of genes and proteins responsible for insulin secretion, indicating that DPP-inhibitors may affect glucose metabolism-related gene and protein expression (Akarte et al., 2012). To clarify whether brain-derived neurotrophic factor (BDNF) levels are affected by AGL, we also studied alterations in BDNF levels in the brain after chronic, prophylactic treatment with

AGL. BDNF, the most abundant neurotrophin in the brain, stimulates neural migration; promote neuronal differentiation; induce neurite outgrowth; enhance synapse formation, Ganetespib clinical trial learning and memory, and neuronal survival; lower blood glucose levels; improve glucose/lipid metabolism, and reduce appetite and body weight (Yanamoto et al., 2000b, Yanamoto et al., 2004, Nakagawa et al., 2003 and Hofer and Barde, 1988). Increase in intracerebral BDNF levels, prior to the insult, induces tolerance to focal cerebral ischemia, and improve the functional outcome in rodent models of ischemic stroke (Nakajo et al., 2008, Galloway et al., 2008, Yanamoto et al., 2000a, Yanamoto et al., 2000b, Yanamoto et al., 2004 and Yanamoto et al., 2008). In contrast, a genetic decrease in BDNF

levels in the brain increased volumes of infarcted lesions and worsened learning and memory (Yamamoto et al., 2011). Interestingly, BDNF levels in the brain were decreased in a mouse model of DM-2, and neurons from these animals were more vulnerable against hypoxia in vitro, compared to normal neurons (Navaratna et al., 2011). No animal died before the evaluation of volumes of infarcted Metformin ic50 lesions in the acute and chronic phase studies. During the operation, the physiological parameters of mice were stable and regulated within the normal range. There were no significant Celecoxib differences in body temperature, heart rate and mean arterial blood pressure between vehicle- and the three different AGL-treated groups during the operative period (Table 1). No significant

differences were observed in body weight or blood glucose levels at the end of the treatment, with blood glucose levels of 170±22 mg/dL vs. 180±23 mg/dL in the vehicle- and AGL-treated groups respectively (p=0.234). Body weight was 23.5±1.1 g in the vehicle-treated vs.22.9±0.8 in the AGL-treated group (p=0.117). On analysis of the volumes of infarcted lesions, a significant reduction was observed in Group III (medium dose), as compared to group I (vehicle) (Fig. 1A and B). There was no significant difference in the edema index between the groups (data not shown). On assessment of neurological function in the acute phase (Fig. 1C), the SND score in group III was significantly smaller compared to group I (Mann–Whitney test), with no other differences. In the chronic phase, the volume of infarcted lesion in group II (medium dose) was significantly smaller compared with those in group I (vehicle) (Fig. 2A and B).

In some instances, reciprocal CNVs (i e deletion and duplication

In some instances, reciprocal CNVs (i.e. deletion and duplications at the same locus) appear to have different phenotypic effects. For example, deletions and duplications at 16p11.2 are associated with obesity and low body mass index, respectively [ 37]. In schizophrenia, duplications at 22q11.2 are significantly less common than they are in controls, whereas the deletion of this locus is one of its strongest risk factors [ 38]. The CNVs in Figure 2 are considered to have fairly

high, but incomplete, penetrance for schizophrenia and for other neurodevelopmental disorders, most having lower penetrance for schizophrenia than the other disorders [28•]. However, the incomplete penetrance of these CNVs has recently been questioned in a large study which showed the level of cognitive performance in non-affected carriers find more of schizophrenia-associated CNVs to be in-between that observed in schizophrenia patients and population controls [39•]. Over the past few years, several publications have used new sequencing technology to investigate rare inherited (as opposed to de novo) alleles in schizophrenia. Intriguing findings have been reported from some studies [ 40 and 41], although their results

largely remain inconclusive owing to small sample size. Only one schizophrenia study till date has employed exome sequencing in large samples (2536 cases and 2543 controls) [ 42••]. No single rare allele (MAF < 0.1%) was associated at genome-wide levels of significance, and overall, the exome-wide burden of rare variation was not increased in cases. However, a significantly increased burden VX-765 of rare, disruptive alleles was observed in a set of 2546 genes selected for a higher probability of

being associated with schizophrenia. This burden was distributed across a large number of genes. As in the de novo CNV and SNV studies, significant enrichments for rare disruptive SNVs and indels were found in proteins affiliated Sitaxentan with ARC and NMDAR genes, and FMRP-targets, but also for voltage-gated calcium channels [ 42••]. This work demonstrates a contribution of ultra-rare damaging alleles spread across a large number of genes in schizophrenia, although larger samples are required for robust associations to be made to specific genes/alleles. Genome-wide association studies (GWAS) of SNPs have now identified a number of common schizophrenia risk alleles [43, 44 and 45••]. Individually, these alleles have a weak effect on schizophrenia risk, with ORs generally < 1.2, although collectively they are estimated to account for between a third and a half of the variation in schizophrenia genetic liability [43, 46 and 47]. Given the modest effect size of these alleles, very large samples have been required to obtain the necessary statistical power for associations to be made at genome-wide levels of significance (P < 5 × 10−8).

e , an enhanced P200 for novel-topic > topic-shift > topic-contin

e., an enhanced P200 for novel-topic > topic-shift > topic-continuity; see also Hung & Schumacher (2014)). They interpreted the P200 –which was reduced for processing similar graphical forms– as an early perceptual mismatch response. This is in line with our interpretation of the present finding

in terms of an early perceptual repetition effect in the topic condition. Some ERP studies examining word order variation in German main clauses (i.e., prefield) without a preceding context demonstrated processing difficulties in terms of an enhanced LAN for OS compared to SO at the first DP (e.g., Matzke et al., 2002 and Rösler VX-809 cost et al., 1998), whereas other studies did not report such an effect of canonicity (e.g., Frisch et al., 2002 and Knoeferle et al., 2007). For the German middlefield, robust processing difficulties in form of the scrambling negativity for OS vs. SO are reported even if preceded by context information (e.g., Bornkessel and Schlesewsky, 2006b and Bornkessel et al., 2003). As mentioned above, we did not focus on the direct comparison of the two word orders for the following reasons: First, SO is the canonical and more frequent word order in German; any differences could hence be confounded

by those effects. Second, grammatical and thematic role coincided in our material. Thus, we would not only compare word order but also the order of thematic roles. Therefore, we prefer to interpret our context effects within each word order to assure we compare the same target sentences. However, the ERPs click here in our study indicate that word order immediately interacted with the preceding context during incremental sentence processing, as reflected by the late positivity at DP1 – the position that immediately followed the context question and revealed the crucial case marking of subject/object and the thematic role. Hence, it seems that similar to Schumacher and Hung (2012) no processing difficulties for OS vs. SO in terms of a negative deflection at the sentence-initial position of German main clauses was elicited – if embedded in a strong licensing context. At both subsequent sentence positions (i.e., verb,

DP2) a significant word order effect was found. OS (vs. SO) sentences elicited an early positivity (100–300 ms) as well as a left Non-specific serine/threonine protein kinase central negativity 300–500 ms after the finite verb and a frontally distributed positivity 500–700 ms after the DP2. Similar word order effects on ERPs at subsequent sentence positions have been reported in other studies (e.g., a negativity around 350–550 ms relative to verb onset (Wolff et al., 2008); a positivity (400–700 ms) at DP2 (Fiebach, Schlesewsky, & Friederici, 2002)). In line with these studies, we interpret the word order effects in our study as reflecting general processing costs for OS compared to SO sentences. In line with recent studies using either offline (e.g., Meng et al., 1999 and Weskott et al., 2011) or online methods (e.g., Bornkessel et al.

Addition of glycerol significantly affects WVP and P′O2 (P < 0 05

Addition of glycerol significantly affects WVP and P′O2 (P < 0.05). Since the main function of a food packaging

is often to avoid or at least to decrease moisture transfer between the food and the surrounding atmosphere, WVP should be as low as possible ( Mali et al., 2006). The regression analysis, using response surface methodology, was applied on results of WVP and P′O2 of the films indicating that both components glycerol (G) and clay nanoparticles (C) influenced significantly WVP and P′O2, however only for WVP, expressed by Equation (5), in real values, was obtained buy Enzalutamide with good correlation (r2 = 77%). As can be observed in Fig. 2(b), biodegradable films produced with lower contents of glycerol and higher contents of clay nanoparticles presented lower WVP. equation(5) WVP=(2.65+3.77×G−19.5×C)±0.71(0.75≤G≤1.25)(0.00≤C≤0.10)wherein WVP is the water vapor permeability [g mm m−2 d−1 kPa−1]; G is the glycerol content [g/100 g of filmogenic solution]; and C is the clay nanoparticles content [g/100 g of filmogenic solution]. In

order to compare these results with those of classic materials, cellophane water vapor permeability was obtained with assays using the same conditions of the tests performed with BF and the result ((0.49 ± 0.02) g mm m−2 d−1 kPa−1) selleck chemicals llc was 10 times lower than for the BF. Comparable results of WVP were shown by commercial materials produced by Cargill Dow (USA) under the Natureworks® trade mark and by Solvay (Belgium) under the CAPA® trade mark ( Avérous, 2004). Glass transition temperatures obtained from DSC experiments are reported in Table 3. The results showed the same behavior for all samples of BF elaborated, independent of glycerol and clay contents. Two distinct

glass transition temperatures, associated with two heat capacity changes in the samples, were observed in all formulations produced, the first varying from (35 to 39) °C and the second one from (53 to 63) °C. Similar values were observed in other polymeric materials. Polylactic acid (PLA), a biodegradable polyester commonly used for trays, cups, bottles and films, has been industrially not produced by Cargill Dow (USA) under the Natureworks® trade mark, with a similar glass transition temperature: 58 °C (Avérous, 2004). Tang et al. (2008) fabricated biodegradable nanocomposites from corn starch and montmorillonite nanoclays by melt extrusion processing, with Tg varying from (50.71 ± 2.76) °C to (54.74 ± 1.21) °C, when water content of starch-clay nanocomposite decreased from (13.06 ± 1.73) g/100 g to (9.75 ± 0.21) g/100 g. Specimens fabricated by injection molding using pellets produced with wheat starch (74 g/100 g), glycerol (10 g/100 g) and water (16 g/100 g) presented Tg of 43 °C ( Avérous, Fauconnier, Moro, & Fringant, 2000). Arvanitoyannis, Psomiadou, and Nakayama (1996) observed a decrease on glass transition temperature of edible films based on corn starch and plasticized with glycerol from (88.8 ± 3.4) °C to (33.0 ± 1.

The following information on patient history was obtained: TIA an

The following information on patient history was obtained: TIA and minor strokes we classified into the following categories: retinal TIA, cerebral

TIA or stroke. Documented were the nature of the events such as visual, pure motor, pure sensory, dysarthria, dysphasia, ataxia, apraxia or combination of events. ABCD2 scores were obtained in all patients [6]. MRI findings were classified into cortical infarcts, subcortical infarcts and leucoaraiosis. Infarcts were further subdivided into recent or this website non-recent and left or right sided. The side, severity of the stenosis and presence of plaque ulceration on duplex and CTA were documented as well. Furthermore, blood pressure was documented as well as the current use of anti-thrombotic drugs or anti-coagulants. Documentation of the TCD embolus detection included: the side of insonation, the peak systolic-, mean and end-diastolic velocity, the duration of the measurement and the presence or absence of cerebral embolism by human experts. If experts found cerebral embolism the following parameters 5-FU ic50 of that embolus were noted: velocity, phase of cardiac cycle (systolic/diastolic) in which the events occurred, intensity, duration and a parameter related to the musical characteristics of the embolus (the zero-crossing index) [7]. Data of stent

procedures and surgery were prospectively documented including the occurrence of neurological or non-neurological complications. The follow-up at three month included a neurological visit at the outpatient clinic. Documented were the TIA and stroke recurrence rate. If complications had occurred in the post-operative phase of angioplasty or surgery they were evaluated including the occurrence of new medical events in the last three months. All data were stored in a downloadable

Internet based electronic management system which allowed online statistical analysis of all included case records. This data management system has been developed by Mediwebdesign© The Netherlands (http://www.mediwebdesign.nl/spi/stroke/loginreal.php). A TCD Delica 9 series (Delicate/Shenzen/China) equipped with a 2 MHz TCD transducer and a notebook PC (Acer®, Aspire 1800 Series) were used for this study. A special Delicate headband was used to hold the 2 MHz transducer, which allowed Verteporfin hands-off monitoring. The insonated artery was the middle cerebral artery at its origin, just lateral of the terminal internal carotid artery, on the ipsilateral side of the symptomatic carotid artery territory. Patients were monitored for 30 min. In case of positive embolism the other contra-lateral middle cerebral artery was examined to estimate whether the cerebral embolism was a uni-lateral or bilateral phenomenon. Insonation depth varied between 45 mm and 55 mm. Patients were asked to not speak or move their head during the monitoring session because angular or lateral probe movements may induce false positive embolic events.