Subsequently, a blinded observer assessed the onset time, incidence of Horner syndrome, and success rate (surgical anesthesia). The main outcome variable was the total anesthesia-related time (sum of performance and onset times). Results: Due to a quicker onset [8.9 (5.6) vs 17.6 (5.3) minutes; P smaller than 0.001], the total anesthesia-related time was shorter with TII SCB [18.2 (6.1) vs 22.8 (5.3) minutes; P smaller than 0.001]. However no differences were

observed between the 2 groups in terms of success rate (93.7%-96.9%), block-related pain scores, and adverse events such as vascular puncture and paresthesia. Expectedly, learn more the ICB group required fewer needle passes (2 vs 6; P smaller than 0.001) as well as shorter needling

[4.8 (2.3) vs 9.0 (2.9) minutes; P smaller than 0.001] and performance [5.6 (2.3) vs 9.5 (2.9) minutes; P smaller than 0.001] times. Moreover, the ICB approach was associated with a decreased incidence of Horner syndrome (3.1% vs 53.1%; P smaller than 0.001). Conclusions: Ultrasound-guided TII SCB and ICB provide comparable success rates. Due to its quick onset, TII SCB results in a shorter Sapanisertib order total anesthesia-related time.”
“Mesenchymal stem cells (MSCs) originate from embryonic mesoderm and give rise to the multiple lineages of connective tissues. Transformed MSCs develop into aggressive sarcomas, some of which are initiated by specific chromosomal translocations that generate fusion proteins with potent oncogenic properties. The sarcoma oncogenes typically prime MSCs through aberrant reprogramming. They dictate commitment to a specific lineage but prevent mature differentiation, thus locking the cells in a state of proliferative precursors. Deregulated expression of lineage-specific transcription factors and controllers of chromatin structure play a central role in MSC reprogramming and sarcoma pathogenesis. This suggests that reversing the epigenetic aberrancies created by the sarcoma oncogenes

with Fosbretabulin mouse differentiation-related reagents holds great promise as a beneficial addition to sarcoma therapies. (C) 2014 Elsevier Ltd. All rights reserved.”
“This longitudinal study was conducted between 1994 and 2004 in a cohort of Southern Taiwan community-living elderly residents. The study aims to explore the trajectories of depression and how these patterns differed between respondents who survived and those who died during data collection phases; this study also investigated how health status change and health/social service use predicted the different trajectories of depression. Eight hundred and ten participants had completed all six waves of the survey or were followed-up at each wave until death in the prospective study in Kaohsiung City. Depressive symptoms were evaluated by the Short Psychiatric Evaluation Schedule ( SPES).

The obtained data show that salivary glands present an unexpected source of orexigenic and anorexigenic peptides which with their autocrine, paracrine, and endocrine mechanisms P005091 in vivo of action may participate in the control of salivary gland function. (Folia Histochemica et Cytobiologica 2012, Vol. 50, No. 4, 504-512)”
“Transparent Eu2+/Mn2+ co-doped new glass ceramics (GC) containing beta-Zn2SiO4 nanocrystals were prepared under a reduced atmosphere. The optical properties of these samples have been investigated. The emission spectra of Eu2+/Mn2+ co-doped glass ceramics show two broadband peakings at 458 and 560 nm under ultraviolet radiation, which can be attributed to 4f(6)5d(1)->

4f(7) transition of Eu2+ and T-4(1)((4)G)->(6)A(1)(S-6) transition of Mn2+, respectively. Energy transfer (ET) from Eu2+ to Mn2+ is discovered by directly observing significant overlap of the excitation spectrum of Mn2+ and the emission spectrum of Eu2+. ET from Eu2+ to Mn2+ in

glass ceramics is further confirmed by fluorescence studies performed LY294002 nmr on the samples with various activator (Mn2+) concentrations. The optimal composition generates white light with chromaticity coordinates (0.291, 0.344). The results indicate that Eu2+/Mn2+ co-doped glass ceramics is potential material for white light-emitting diodes (LEDs). Crown Copyright (C) 2010 Published by Elsevier B.V. All rights reserved.”
“When included as part of a larger greenhouse find protocol gas (GHG) emissions reduction program, forest offsets may provide low-cost opportunities for GHG mitigation. One barrier to including forest offsets in climate policy is the risk of reversal, the intentional or unintentional release of carbon back to the atmosphere due to storms, fire, pests, land use decisions, and many other factors. To address this shortcoming, a variety of different strategies have emerged to minimize either the risk or the financial and environmental implications of reversal. These

strategies range from management decisions made at the individual stand level to buffers and set-asides that function across entire trading programs. For such strategies to work, the actual risk and magnitude of potential reversals need to be clearly understood. In this paper we examine three factors that are likely to influence reversal risk: natural disturbances (such as storms, fire, and insect outbreaks), climate change, and landowner behavior. Although increases in atmospheric CO(2) and to a lesser extent warming will likely bring benefits to some forest ecosystems, temperature stress may result in others. Furthermore, optimism based on experimental results of physiology and growth must be tempered with knowledge that future large-scale disturbances and extreme weather events are also likely to increase.

At the same time, the overall structure is similar to that of a semidilute polymer solution, with polycations and polyanions strongly overlapping to form a network with a mesh size that is much smaller than the radius of gyration of the polymers. The mesh size decreases with decreasing salt concentration, following a scaling that is in good agreement with predictions Selleckchem Baf-A1 from the corresponding salt polymer phase diagram. These findings

are confirmed by complementary X-ray scattering experiments. Finally, in all scattering experiments with light, X-rays, and neutrons, and for all polymer chain lengths and salt concentrations, we find a remarkable low-q excess scattering, following a power law with a slope close to -2. This points to the

presence of equilibrium, large-scale density fluctuations in the complex coacervates. Dynamic light scattering experiments reveal two complementary diffusive modes in the complex coacervates, corresponding to fluctuations of the polymer mesh and diffusion of domains of varying density, respectively.”
“PEMA- and eugenol-based trial agents (PE 1.0, PE 1.6) possessed the requisite dental engineering properties that, satisfied GDC-0068 supplier the requirements for temporary luting agents. To assess their clinical applicability. this study examined the following properties after the trial agents were removed: their residue ratios on the abutment surface and the bond strengths of resin-modified glass ionomer cement and resin cement for the abutment materials. The residue ratio of PE

1.0 on the abutment material after temporary restoration removal was lower than those of comparable temporary luting agents (polycarboxylate cement type, zinc oxide-eugenol cement type), and no residue was recognized for PE 1.6. On bond strength, those of the resin-modified glass ionomer cement and resin cement. for the resin core and bovine dentin surface after the removal of trial agents tended to be the same or increase in comparison to commercial temporary luting agents. In Conclusion. results of this study suggested that the trial agents were suitable for clinical use.”
“A real-time TaqMan PCR assay based on the gene encoding the protein p37 was developed to detect Mycoplasma hyorhinis. Its specificity learn more was validated with 29 epidemiologically unrelated M. hyorhinis strains (28 field strains and one reference strain) and other mycoplasma species or with other microorganisms commonly found in pigs. The estimated detection limit of this qPCR assay was 125 microorganism equivalents/mu l. The same 29 epidemiologically unrelated M. hyorhinis strains and four previously fully sequenced strains were typed by two portable typing methods, the sequencing of the p37 gene and a multilocus sequence typing (MLST) scheme. The first method revealed 18 distinct nucleotide sequences and insufficient discriminatory power (0.934). The MLST scheme was developed with the sequenced genomes of the M.

Using cellular models of Pin1 knockout and Pin1 knockdown, we have demonstrated that lowering Pin1 levels changed the intracellular localization and the processing of A beta PP. Under these conditions, less A beta PP was retained at the plasma membrane favoring the amyloidogenic processing, and the kinetics of A beta PP internalization increased as well as the nuclear trafficking of A beta PP C-terminal fragment AICD. In addition, A beta PPThr668Ala mutant, which cannot bind to Pin1 and retains

more trans conformation, rescued the levels of A beta PP at the plasma membrane in Pin1 knockout cells. click here Thus, loss of Pin1 function contributes to amyloidogenic pathways, by facilitating both the removal of A beta PP from compartments where it is mostly non-amyloidogenic and its internalization to more amyloidogenic compartments. These data suggest that physiological levels of Pin1 are important to control the intracellular localization and metabolic fate of Thr668-phosphorylated A beta PP, and regulation of A beta PP conformation is especially important in pathologic conditions of A beta PP hyperphosphorylation and/or loss of Pin1 function, associated with AD.”
“The transient receptor potential cation channel, subfamily M, member 1 (TRPM1/Melastatin-1/MLSN-1) expression has been shown to have prognostic

utility in the evaluation of primary cutaneous melanoma. We analyzed a Selleck LY2835219 series of spindled and epithelioid cell nevi (Spitz) and primary cutaneous nodular melanomas to determine whether the expression of TRPM1 mRNA may be useful in distinguishing between Spitz nevi and nodular melanomas and to further examine the patterns of TRPM1 mRNA expression in cutaneous melanocytic proliferations. Formalin-fixed, paraffin-embedded tissues from 95 Spitz nevi and 33 nodular melanomas were analyzed for the expression of TRPM1 mRNA by in situ hybridization Napabucasin cost using (35)S-labeled riboprobes. Ubiquitous melanocytic expression of TRPM1 mRNA was observed in 56 of 95 (59%) Spitz nevi and 4 of 33 (12%) nodular melanomas. Diffusely scattered loss of TRPM1 mRNA was identified in 38

of 95 (40%) Spitz nevi and 2 of 33 (6%) nodular melanomas. Regional loss of the TRPM1 mRNA expression by a significant subset of dermal tumor cells or a complete absence of TRPM1 expression by the dermal tumor was identified in 27 of 33 (82%) nodular melanomas, but only 1 of 95 (1%) Spitz nevi. These findings suggest that the pattern of TRPM1 mRNA expression may be helpful in the differentiation of Spitz nevi and nodular melanomas. Of the 16 patients who experienced metastasis, 15 (94%) had primary tumors that displayed reduced MLSN mRNA expression by all or a part of the dermal tumor. Modern Pathology (2009) 22, 969-976; doi: 10.1038/modpathol.2009.56; published online 24 April 2009″
“Background: Papaya (Carica papaya L.) is a commercially important crop that produces climacteric fruits with a soft and sweet pulp that contain a wide range of health promoting phytochemicals.

The manner in which these alterations in fetoplacental carbohydrate metabolism contribute to the pathophysiology of PI-IUGR is currently unknown.”
“Globotriaosylceramide LY3039478 (Gb3) is a well known receptor for Shiga toxin (Stx), produced by enterohemorrhagic Escherichia coli and Shigella dysenteriae. The expression of Gb3 also affects several diseases, including cancer metastasis and Fabry disease, which prompted us to look for factors involved in its metabolism. In the present study, we isolated

two cDNAs that conferred resistance to Stx-induced cell death in HeLa cells by expression cloning: ganglioside GM3 synthase and the COOH terminus region of glutamate receptor, ionotropic, N-methyl-D-asparate-associated protein 1 (GRINA), a

member of the transmembrane BAX inhibitor motif containing (TMBIM) family. Overexpression of the truncated form, named GRINA-C, and some members of the full-length TMBIM family, including FAS inhibitory molecule 2 (FAIM2), reduced Gb3, and lactosylceramide was accumulated instead. The change of glycolipid composition was restored by overexpression of Gb3 synthase, suggesting that the synthase is affected by GRINA-C and FAIM2. Interestingly, the mRNA level of Gb3 synthase was unchanged. Rather, localization of the synthase as well as TGN46, a trans-Golgi network marker, was perturbed to form punctate structures, and degradation of the synthase in lysosomes was enhanced. Furthermore, GRINA-C was associated with Gb3 synthase. These observations may demonstrate 4EGI-1 clinical trial Selleckchem BMS-754807 a new type of posttranscriptional regulation of glycosyltransferases.”
“Peritoneal adhesions are recognized as an important cause for patient morbidity, but complications related to adhesions occur relatively late after the original operation. Therefore preoperative consent may not adequately reflect the proportions of the problem.\n\nA total of 200 patients admitted for intraperitoneal operations at six hospitals were prospectively reviewed to identify whether adhesion-related complications were documented as possible adverse events in their respective

consent forms.\n\nAdhesion-related complications were documented in 8.5% (n = 17) of consent forms (bowel obstruction n = 8, requirement for further operations n = 5, difficult reoperation n = 1, pain n = 3). A direct relationship with adhesions was noted in n = 9 of these consent forms.\n\nPreoperative informed consent does not adequately reflect the magnitude of adhesion-related problems. These findings have immediate implications for clinical practice.”
“A novel liquid chromatographic-electrospray ionization mass spectrometric (LC-ESI-MS) method has been developed for the determination of Armodafinil in human plasma using carbamazepine as internal standard. The sample was prepared by employing liquid-liquid extraction method from human plasma using ethyl acetate as a solvent.

Seven fibre lines had mucilages particularly rich in galactose. High to very high variability was found for 14 traits. Relatively independent characters (form/shape, protein and galactosidase) were 3-deazaneplanocin A cost identified and could be combined by breeding, with a focus on mucilage yield, composition and properties. Main-component analyses of line characters showed a large diversity in linseeds mainly due to their different origin but small variation in Russian fibre lines with brown seeds. (C) 2014 Elsevier

Masson SAS. All rights reserved.”
“Despite the importance of maintaining redox homeostasis for cellular viability, how cells control redox balance globally is poorly understood. Here we provide Stem Cells & Wnt inhibitor new mechanistic insight into how the balance between reduced and oxidized

electron carriers is regulated at the level of gene expression by mapping the regulon of the response regulator ArcA from Escherichia coli, which responds to the quinone/quinol redox couple via its membrane-bound sensor kinase, ArcB. Our genome-wide analysis reveals that ArcA reprograms metabolism under anaerobic conditions such that carbon oxidation pathways that recycle redox carriers via respiration are transcriptionally repressed by ArcA. We propose that this strategy favors use of catabolic pathways that recycle redox carriers via fermentation akin to lactate production in mammalian cells. Unexpectedly, bioinformatic analysis of the sequences bound by ArcA in ChIP-seq revealed

that most ArcA binding sites contain additional direct repeat elements beyond the two required for binding an ArcA dimer. DNase I footprinting assays suggest PFTα that non-canonical arrangements of cis-regulatory modules dictate both the length and concentration-sensitive occupancy of DNA sites. We propose that this plasticity in ArcA binding site architecture provides both an efficient means of encoding binding sites for ArcA, sigma(70)-RNAP and perhaps other transcription factors within the same narrow sequence space and an effective mechanism for global control of carbon metabolism to maintain redox homeostasis.”
“We have previously shown that HIV-1 superinfected Zambian seroconverters mount low binding and neutralizing antibody responses to their primary HIV-1 infecting virus, which could increase susceptibility to re-infection. Here, we investigated if antibody-dependent cellular cytotoxicity (ADCC), a process by which virus-infected cells are killed, was also reduced. Superinfected individuals exhibited low ADCC activity compared to non-superinfected individuals, but similar levels of CMV-reactive binding antibodies, suggesting superinfected individuals are capable of generating and maintaining virus-specific antibodies. (C) 2014 Elsevier Inc. All rights reserved.

These data indicate that there is very little gene flow among populations of B. perstellata and that it is important to protect as many 3-MA mw populations as possible in order to conserve the genetic

diversity of this rare species.”
“The number of studies regarding the influence of genetic and environmental factors of ovine milk properties of non-dairy breeds is limited. The aim of this study was to determine the influence of breed, beta-lactoglobulin variants and somatic cell count on the content of the principal milk ingredients and whey protein components. The study was carried out on 60 Polish Lowland and Polish Heath ewes, which come from the same flock and were kept under the same management

and feeding practise. Both these breeds did not differ in respect of the principal components of milk. The milk of the Lowland sheep was characterized by a higher beta-lactoglobulin/alpha-lactalbumin ratio compared to milk of Polish Heath breed. The beta-lactoglobulin variants have affected the content of casein and lactose, which was higher in the milk of ewes with the BB genotype. The increase in somatic cell count decreased total protein, casein and beta-lactoglobulin, and significantly increased the share of lactoferrin. The beta-lactoglobulin BMS-777607 variants and somatic cell count mainly affected the components of the protein fraction of milk.”
“P>cAMP is an ancient second messenger, and is used by many organisms to regulate a wide range of cellular functions. Mycobacterium tuberculosis AZD1208 complex bacteria are exceptional in that they have genes for at least 15 biochemically distinct adenylyl cyclases, the

enzymes that generate cAMP. cAMP-associated gene regulation within tubercle bacilli is required for their virulence, and secretion of cAMP produced by M. tuberculosis bacteria into host macrophages disrupts the host’s immune response to infection. In this review, we discuss recent advances in our understanding of the means by which cAMP levels are controlled within mycobacteria, the importance of cAMP to M. tuberculosis during host infection, and the role of cAMP in mycobacterial gene regulation. Understanding the myriad aspects of cAMP signalling in tubercle bacilli will establish new paradigms for cAMP signalling, and may contribute to new approaches for prevention and/or treatment of tuberculosis disease.”
“Destruxin recovered from Metarhizium anisopliae (Metch.) is insecticidal in nature. In the present study, a marked increase in the levels of superoxide radical and NADPH dependent superoxide radical in the partially purified destruxin treated larvae of Spodoptera litura (Fab.) was observed in a dose and time dependent manner. The ESR spectrum of the hydroxyl radical in the treated S.

Here we describe a series of distinct “retrotransposon overdose” (RO) lineages in which the number of Ty1 elements in the Saccharomyces cerevisiae genome has been increased by as much as 10 fold. Although these RO strains are remarkably normal in growth rate, they demonstrate an intrinsic supersensitivity to DNA-damaging agents. We describe the identification of mutants in the DNA replication pathway that enhance this RO-specific DNA damage supersensitivity by promoting ectopic recombination between Ty1 elements. Abrogation of

normal DNA replication leads to rampant genome instability primarily in the form of chromosomal aberrations and confirms the central role of DNA replication accuracy selleck chemical in the stabilization of repetitive DNA.”
“Global environmental changes are expected to impact the abundance of plants and animals aboveground, but comparably little is known about the responses of belowground organisms. Using meta-analysis, we synthesized results from over 75 manipulative experiments in order to test for patterns in the effects of elevated CO(2), warming, and altered precipitation on the abundance of soil biota related to taxonomy, body size, feeding habits, ecosystem type, local climate, treatment magnitude and duration, and greenhouse CO(2) enrichment. We found that the positive AZD4547 nmr effect size of elevated CO(2) on the abundance of soil biota diminished with

time, whereas the negative effect size of warming and positive effect size of precipitation intensified with time. Trophic group, body size, and experimental approaches best explained

the responses of soil biota to elevated CO(2), whereas local climate and ecosystem type best explained responses to warming and altered precipitation. The abundance of microflora and microfauna, and particularly detritivores, increased with elevated CO(2), indicative of microbial C limitation under ambient CO(2). However, the effects of CO(2) were smaller in field studies than in greenhouse studies and were Z-DEVD-FMK ic50 not significant for higher trophic levels. Effects of warming did not depend on taxon or body size, but reduced abundances were more likely to occur at the colder and drier sites. Precipitation limited all taxa and trophic groups, particularly in forest ecosystems. Our meta-analysis suggests that the responses of soil biota to global change are predictable and unique for each global change factor.”
“The purpose of this prospective randomized controlled study was to evaluate the long-term results after an acute Achilles tendon rupture in patients treated surgically or non-surgically. The focus was to evaluate whether any improvements occurred between the one and 2-year evaluation.\n\nEighty-one patients (67 men, 14 women) with a mean (SD) age of 42 (9.1) were included in this study. Forty-two patients were treated surgically, and 39 treated non-surgically otherwise the treatment was identical for the two groups.

Results The mean fractional anisotropy (FA) values of the CC fibers interconnecting the primary motor (BA4), supplementary motor (BA6), and dorsolateral prefrontal cortex this website (BA9/46)

were significantly lower in ALS patients than in controls, whereas those of the primary sensory cortex (BA1, BA2, BA3), Broca’s area (BA44/45), and the orbitofrontal cortex (BA11/47) did not differ significantly between the two groups. The FreeSurfer ROI approach revealed a very similar pattern of abnormalities. In addition, a significant correlation was found between the mean FA value of the CC fibers interconnecting the primary motor area and disease severity, as assessed using the revised Amyotrophic Lateral Sclerosis Functional Rating Scale, and the clinical

extent of upper motor neuron signs. Conclusions Our findings suggest that there is some degree of selectivity or a gradient in the CC pathology in ALS. The CC fibers interconnecting the primary motor and dorsolateral prefrontal cortices may LY3023414 mouse be preferentially involved in ALS.”
“BACKGROUND AND PURPOSE: Blister aneurysms of the supraclinoid ICA represent a rare but potentially catastrophic cause of SAH, often presenting both diagnostic and therapeutic dilemmas. We explore the utility of CTA in the identification and characterization of ICA blister aneurysms.\n\nMATERIALS AND METHODS: We performed a retrospective review of catheter cerebral angiograms obtained at our institution over a 12-month CUDC-907 nmr period for evaluation of SAH, identifying 6 cases of ICA blister aneurysms. All patients underwent CTA and DSA for evaluation of SAH. The reports from the CTA and DSA

studies were reviewed to identify aneurysms correctly diagnosed prospectively. Retrospective review of the CIA and DSA images was also performed. Review of the interpretations and images was performed for any follow-up studies.\n\nRESULTS: All 6 patients presented with SAH, diagnosed by head CT. All patients subsequently underwent CIA prior to DSA evaluation. All 6 aneurysms were identified prospectively on initial DSA imaging. Of the 6 blister aneurysms, 4 (67%) were identified prospectively; and 5 (83%), retrospectively on CTA. All 6 patients underwent endovascular treatment with stent placement. Four of the 6 aneurysms underwent follow-up CIA (range, 9-22 days), including the 2 aneurysms that had been unidentifiable preprocedurally. All 4 blister aneurysms were seen postprocedurally by DSA. Three of these 4 (75%) residual aneurysms were detected by CTA (both prospectively and retrospectively).\n\nCONCLUSIONS: In the presence of SAH and otherwise negative findings on CIA, a catheter cerebral angiogram should be performed to absolutely exclude an ICA blister aneurysm.

pleuropneumoniae serovar 1, 3, 5, or 7. Serum samples collected at the day of inoculation or vaccination and 7, 14, 21, and 28 days later were used to compare the assays. On samples from experimentally infected pigs, the dual-plate CF assay, quad-plate ELISA-1,

single-plate ELISA-2, and single-plate HDAC assay ELISA-3 had sensitivities of 0.46, 0.74, 0.13, and 0.13 and specificities of 0.90, 1.0, 1.0, and 1.0, respectively. Vaccinated pigs were identified only by the dual-plate CF assay and the quad-plate ELISA-1. In addition, 90 serum samples with unknown A. pleuropneumoniae exposure collected under field conditions were tested with all assays. The agreement of the 4 assays on field samples was slight to fair. While several assays are available for demonstration of A. pleuropneumoniae exposure, differences in assay targets complicate test choices. Decisions on which assay or combination of assays to use depend on the specific reasons for running the assays.”
“Background: Acromioclavicular joint dislocations are common orthopaedic injuries. Numerous operative techniques have been

described, but the gold standard has yet to be defined. The goal of fixation is to create a stiff and strong reconstruction of the coracoclavicular ligaments to provide optimal stability. The modified Weaver-Dunn CX-6258 purchase is the traditional surgical procedure. However, due to the high rate of recurrent instability with this technique, a shift toward a more anatomic repair has occurred.\n\nPurpose: To evaluate the biomechanical performance of multiple types of coracoclavicular ligament reconstruction.\n\nStudy Design: Controlled laboratory study.\n\nMethods: MLN8237 manufacturer Thirty fresh-frozen human cadaveric shoulders were assigned to 1 of 5 reconstruction groups or a control group: modified Weaver-Dunn, nonanatomic allograft, anatomic allograft, anatomic suture, and GraftRope. A type III acromioclavicular joint dislocation was simulated in all specimens. The

5 techniques were completed, and a cyclic preload and a load-to-failure protocol were performed.\n\nResults: The control had an average load to failure of 1330.6 +/- 447.0 N. Compared with all techniques, the anatomic allograft had the highest load to failure, 948 +/- 148 N. It had a significantly higher load to failure than the modified Weaver-Dunn (523.2 +/- 98.6 N, P = .001), the anatomic suture (578.2 +/- 195.3 N, P = .01), the nonanatomic allograft (591.2 +/- 65.6 N, P = .003), and the GraftRope (646 +/- 167.4, P = .016). No significant difference in load to failure was found between the remaining techniques.\n\nConclusion: The anatomic allograft reconstruction has superior initial biomechanical properties compared with the modified Weaver-Dunn, nonanatomic allograft, anatomic suture, and GraftRope techniques.\n\nClinical Relevance: Anatomic reconstruction of the coracoclavicular ligaments with allograft may provide a stronger biological solution for acromioclavicular joint dislocations.