Closed non-displaced mid-diaphyseal fractures in the middle o

\n\nClosed non-displaced mid-diaphyseal fractures in the middle of the left femoral shaft were generated in each animal. In the study group, parecoxib sodium (1.06 mg/kg) was administered intra-peritoneally every day for 7 days. In the control group, normal saline was administered intra-peritoneally every day for 7 days. In both groups fracture healing (bone union and callus formation) was evaluated with X-rays 28

and 42 days after surgery.\n\nBone healing was lower in RSL3 cost the study group (60 vs. 80% in the control group 28 days after fracture and 80 vs. 90% 42 days after fracture) but this difference was not statistically significant (P > 0.05).\n\nParecoxib does not have a significant long-term effect on bone healing in rats, when it is administered in a high dose and for a short period after bone fracture.”
“There may be a correlation in critically ill children Saracatinib order between the accuracy of estimated energy requirement and infection, mortality, and length of stay. Historically, energy needs were estimated using predictive equations with stress factor adjustments. The purpose of this review is to evaluate the evidence for indirect calorimetry, predictive equations, and other clinical

indicators (ie, patient outcomes) to estimate energy requirements of the postoperative, critically ill, cardiac infant. Consistent with current guidelines, indirect calorimetry provides the best estimate of energy requirements for critically ill children. Predictive equations are unreliable, either over- or underestimate energy requirements, and do not take into account the metabolic changes that LY2606368 occur in the postoperative cardiac infant. To address the changing metabolic state throughout the course of illness, clinicians need to individualize recommendations by implementing frequent indirect calorimetry measurements at bedside. Actual energy delivery to the postoperative cardiac

surgery child in the pediatric intensive care unit (PICU) can be further hindered by many procedural and patient barriers. The provision of appropriate caloric requirements may help clinicians correct the metabolic state and promote recovery and anabolism. Therefore, optimizing nutrition intake of the postoperative, cardiac surgical child requires a paradigm shift toward individualized nutrition prescription, in the context of a PICU-specific feeding algorithm.”
“Intracortical microstimulation and single cell recordings in non-human primates showed that both, muscles and movements are represented in primary motor cortex (M1). This was also suggested in humans using electrophysiological and neuroimaging techniques. Transcranial magnetic stimulation (TMS) thus far was used to study motor cortical muscle representations, but data on movement representations in man are scarce.

In this paper, the supervised learning methods of ANFIS and ANN a

In this paper, the supervised learning methods of ANFIS and ANN are exploited for estimating the experimentally determined HTC. This original research fulfills the preceding modeling efforts on thermal properties of EGWM and HTC applications in the literature. An experimental test setup is designed to compute HTC of mixture over a small

circular aluminum heater surface, 9.5 mm in diameter, placed at the bottom 40-mm-wide wall of a rectangular channel 3 mm x 40 mm in cross section. Measurement data are utilized as the train and test data sets of the this website estimation process. Prediction results have shown that ANFIS provide more accurate and reliable approximations compared to ANN. ANFIS present correlation factor of 98.81 %, whereas ANN estimate 87.83 % accuracy for test samples.”
“Introduction. The increasing demand for selleck kinase inhibitor organ donation has resulted in the use of expanded-criteria donors.

Solid organ transplant recipients and potential recipients represent a unique pool of selected organ donors that may help to meet this demand. Case Report. We present 2 cases, a lung transplant recipient and a patient on the lung transplant waiting list, who became kidney donors to 4 recipients. Conclusions. These donations illustrate the interrelated risks and benefits for transplant recipients who themselves can become unintended, but effective donors.”
“Loss of PTEN expression is observed in most non-small cell lung cancers (NSCLC). However, the mechanism by which PTEN expression is regulated in NSCLC has not been fully elucidated. In this study, we investigated the role of DNA methyltransferases (Dnmts), microRNA-29b (miR-29b), and anti-miR-29b inhibitor in PTEN promoter methylation and

PTEN gene expression in H358 NSCLC cells in vitro and in vivo. PTEN mRNA was measured by RT-PCR. PTEN and Dnmts protein levels were measured by Western blot. miR-29b expression was detected by Northern blot. A xenograft H358 tumor mouse model was established by subcutaneously inoculating H358 cells into the right hind limbs of nude mice. We found that radiation induced cell apoptosis and hypomethylation in PTEN promoter, PTEN and miR-29b expression, and downregulation of Dnmt1, 3a and 3b expression in learn more H358 tumor cells. The effect of radiation on gene expression and apoptosis was blocked by anti-miR-29b inhibitor. In the xenograft H358 tumor model, anti-miR-29b inhibitor reversed radiation-induced tumor growth delay, PTEN reexpression and downregulation of Dnmts expression. Our study suggested that miR-29b is an upstream molecule of PTEN. miR-29b regulates PTEN gene expression through downregulating Dnmts expression and subsequently induces hypomethylation in PTEN promoter. Targeting therapy could be established in NSCLC by upregulating miR-29b expression.

” occidentale

” occidentale 10058-F4 chemical structure indicates an interval Of uncertain duration within the early Hemingfordian (He1) to early Barstovian (Ba 1) land mammal ages (early to middle Miocene) for the Centenario Fauna, between about 19 and 14.8 million years ago. Based on what is known of the modern ecology of tayassuines and previous paleoecological interpretations for Panama, “C.” occidentale likely Occupied a variety of environments, ranging from forested to open Country habitat mosaics and fed oil the diverse array of available plants.”
“Fusarium wilt caused by the fungus Fusarium oxysporum

f. sp. cubens (Foc) is the most serious disease that attacks banana plants. Salicylic acid (SA) can play a key role in plant-microbe interactions. Our study is the first to examine the role of SA in conferring resistance to Foc TR4 in banana (Musa acuminata L. AAA group, cv. Cavendish), which is the greatest commercial importance cultivar in Musa. We used quantitative real-time reverse polymerase chain selleck chemicals llc reaction (qRT-PCR)

to analyze the expression profiles of 45 genes related to SA biosynthesis and downstream signaling pathways in a susceptible banana cultivar (cv. Cavendish) and a resistant banana cultivar (cv. Nongke No. 1) inoculated with Foc TR4. The expression of genes involved in SA biosynthesis and downstream signaling pathways was suppressed in a susceptible cultivar and activated in a resistant cultivar. The SA levels in each treatment arm were measured using high-performance liquid chromatography. SA levels were decreased in the susceptible Epacadostat supplier cultivar and increased in the resistant cultivar. Finally, we examined the contribution of exogenous SA to Foc TR4 resistance in susceptible banana plants. The expression of genes involved in SA biosynthesis and signal transduction pathways as well as SA levels were significantly increased. The results suggest that one reason for banana susceptibility to Foc TR4 is that expression of genes

involved in SA biosynthesis and SA levels are suppressed and that the induced resistance observed in banana against Foc TR4 might be a case of salicylic acid-dependent systemic acquired resistance.”
“Wang Y, Shi X, Qi J, Li X, Uray K, Guan X. SIRT1 inhibits the mouse intestinal motility and epithelial proliferation. Am J Physiol Gastrointest Liver Physiol 302: G207-G217, 2012. First published October 28, 2011; doi:10.1152/ajpgi.00302.2011.-Sirtuin 1 (SIRT1), a NAD(+)-dependent histone deacetylase, is involved in a wide array of cellular processes including glucose homeostasis, energy metabolism, proliferation and apoptosis, and immune response. However, it is unknown whether SIRT1 plays any physiological role in the regulation of intestinal homeostasis and motility. Thus the aim was to define SIRT1 expression and function in the gastrointestinal (GI) tract under physiological conditions. Forty 12-14-wk-old SIRT1 knockout (KO) and wild-type (WT) mice were fasted 21 h and/or refed 3 h.

All contigs have been deposited in a public

All contigs have been deposited in a public learn more database (EdwardsiellaBase),

where they may be searched according to contig ID, gene ontology, protein family motif (Pfam), enzyme commission number, and BLAST. The alignment of the raw reads to the contigs can also be visualized via JBrowse.\n\nConclusions: The transcriptomic data and database described here provide a platform for studying the evolutionary developmental genomics of a derived parasitic life cycle. In addition, these data from E. lineata will aid in the interpretation of evolutionary novelties in gene sequence or structure that have been reported for the model cnidarian N. vectensis (e. g., the split NF-kappa B locus). Finally, we include custom computational tools to facilitate the annotation of a transcriptome based on high-throughput sequencing data obtained from a “non-model system.”"
“Posttraumatic

arthrosis or rheumatoid arthritis located at the elbow, in particular at the humero-ulnar joint will probably not occur in increasing numbers in the future due to new antirheumatic medications and modern implants. ATM Kinase Inhibitor in vitro However, the demographic development with an increase of the geriatric population and the typical physical changes is evident. Due to osteoporosis with a resulting poor bone quality severe fracture patterns may occur at the site of the distal humerus after a simple collapse. The usual surgical aim consisting of an exact anatomic reduction may be impossible to achieve by applying the standard operative treatment. Several studies have proven that a prosthetic replacement of such a severely damaged elbow is a viable solution

for elderly people. A mobile, pain-free and stable elbow joint promotes a fast recovery of the patient with a quick return to former activities. Nevertheless, elbow prostheses cannot withstand great strains and the surgeon has to identify those fractures which require a prosthetic replacement. The surgical implantation procedure requires an BAY 80-6946 mw adequate knowledge of both elbow anatomy and prosthetic options.”
“Despite increased vector control efforts, dengue fever remains endemic in Fortaleza, Northeast Brazil, where sporadic epidemic outbreaks have occurred since 1986. Multiple factors affect vector ecology such as social policy, migration, urbanization, city water supply, garbage disposal and housing conditions, as well as community level understanding of the disease and related practices. This descriptive study used a multi-disciplinary approach that bridged anthropology and entomology. A multiple case study design was adopted to include research in six study areas, defined as blocks. The water supply is irregular in households from both under-privileged and privileged areas, however, clear differences exist. In the more privileged blocks, several homes are not connected to the public water system, but have a well and pump system and therefore irregularity of supply does not affect them.

At least 2 MELD score data is needed to evaluate the possibilitie

At least 2 MELD score data is needed to evaluate the possibilities of rebleeding.”
“PURPOSE. To investigate the prevalence of sequence variants in the ATM gene and to determine the frequency of major age-related macular degeneration (AMD)-associated variants in CFH, CFB, and 10q26 loci in patients with idiopathic perifoveal telangiectasia (IPT).\n\nMETHODS.

Thirty patients with diagnoses of IPT underwent standard ophthalmologic evaluation that included visual acuity testing, fundus photography, and fluorescein angiography. DNA was screened for variations in the ATM gene by a combination of denaturing high-performance liquid selleck products chromatography and direct sequencing. Major AMD-associated alleles in CFH, CFB, and 10q loci were screened by PCR-restriction fragment-length polymorphism.\n\nRESULTS. Nineteen female and 11 male patients (average age, 59 years) with a median visual acuity of 20/50 selleck chemicals were evaluated. Six patients were of Asian-Indian origin, one was Hispanic, and 23 were of European-American ancestry. Nine of 30 (30%) patients had diabetes mellitus, 18 of 30 (60%) patients had hypertension, and 12 of 30 (40%) patients had a history of smoking. Screening of the ATM gene revealed a null allele in 2 of 23 (8.7%) patients of European ancestry, previously disease-associated missense alleles in 4 of 23 (17.4%)

patients, and common missense alleles in 7 of 23 (30.4%) patients. No variants were identified in the ATM gene in patients of SCH 900776 Asian or Hispanic origin. Frequencies of major AMD-associated alleles in CFH, CFB, and 10q loci in the IPT cohort were similar to those in the ethnically matched general population.\n\nCONCLUSIONS. At least 26%, and maybe up to 57%, of IPT patients of European-American descent carried possibly disease-associated ATM alleles. Vascular risk factors such as hypertension, diabetes, and smoking may be associated with the pathogenesis of the disease.”
“Background: Triiodothyronine

(T3) has many effects on the heart, and marked changes in cardiac function and structure occur in patients with (subclinical) thyroid disease. We investigated whether between-subject variation in thyroid hormone levels within the euthyroid range is also associated with heart rate and echocardiographic heart function and structure.\n\nMethods: Subjects were selected from the Asklepios study (n = 2524), a population-representative random sample of patients aged between 35 and 55 years, free from overt cardiovascular disease at baseline. Analyses were restricted to 2078 subjects (1013 women and 1065 men), not using antihypertensive or thyroid medication nor having antithyroperoxidase antibody levels above clinical cut-off or thyrotropin (TSH) levels outside the reference range. All subjects were phenotyped in-depth and underwent comprehensive echocardiography, including diastolic evaluation.

In conclusion, S-nitrosylation of gephyrin is important for homeo

In conclusion, S-nitrosylation of gephyrin is important for homeostatic assembly and plasticity of GABAergic synapses.”
“Background: The chemokine CXCL16 and its receptor CXCR6 are expressed by a variety of immune cells and have been shown to influence angiogenesis. The expression of CXCR6 and CXCL16 has been examined in numerous ZD1839 in vitro human cancers; however no studies have yet investigated their influence

on prognosis in non-small cell lung cancer (NSCLC). We aimed to explore their prognostic significance in NSCLC, in addition to examining associations with previously investigated markers. Methods: Resected tumor tissue from 335 consecutive unselected stage I-IIIA NSCLC patients (1990-2005) were collected. Immunohistochemistry was used to evaluate the expression of CXCR6 and CXCL16 on tissue microarrays. In vitro, NSCLC cells (NCI-H460, A549 cells) were transfected with CXCL16 siRNA to examine effects on proliferation. Results: In univariate analysis,. stromal cell CXCL16 expression SN-38 molecular weight was a significant positive prognostic factor (P = 0.016). CXCR6 was expressed in cancer cells, but did not show any prognostic impact. In the multivariate

analysis, combined. cancer, and. stromal cell CXCL16 expression was an independent positive prognostic factor when compared to. stromal and. cancer cell expression (HR: 0.42; 95 % CI: 0.20-0.88; P = 0.022). Knockdown of CXCL16 by siRNA resulted in accelerated proliferation of NSCLC cell lines. Conclusion: We have shown that combined. cancer and. stromal cell CXCL16 expression is an independent positive prognostic factor learn more in NSCLC. Further studies are warranted

to elucidate the biological mechanism underlying this finding.”
“Although estrogens have been long implicated in the prostate carcinogenesis. direct evidence showing their carcinogenicity on prostatic epithelial cells has not yet been clearly demonstrated. In this study, we treated an immortalized, non-transformed and androgen-responsive rat prostatic epithelial cell line NRP-152 with 17 beta-estradiol (E(2)) at concentrations 1-3 mu M for period 2-6 weeks. After in vitro treatment, we evaluated the anchorage-independent growth of E(2)-treated NRP-152 cells by soft agar assay and isolated the colonies formed by the transformed E(2)-NRP-152 cells in soft agar for further growth phenotype characterization. Our results showed that the isolated E(2)-NRP-152 clones displayed neoplastic transformation phenotype, as demonstrated by their capacity of forming colonies in soft agar and tumors in immunodeficient nude mice, while losing their spheroid formation capacity in Matrigel 3D-culture.

STUDY DESIGN/SETTING: A prospective cohort study conducted at

\n\nSTUDY DESIGN/SETTING: A prospective cohort study conducted at an academic out patient

clinic.\n\nPATIENT SAMPLE: One hundred forty-one patients undergoing surgery for lumbar or cervical degenerative 4EGI-1 conditions.\n\nOUTCOME MEASURES: Self-reported pain and disability were measured with the Brief Pain Inventory and the Oswestry Disability Index/Neck Disability Index, respectively. The physical composite scale of the 12-Item Short-Form Health Survey (SF-12) measured physical health.\n\nMETHODS: Data collection occurred preoperatively and at 6 weeks and 6 months following surgery. Fear of movement was measured with the Tampa Scale for Kinesiophobia and depression with the Prime-MD PHQ-9.\n\nRESULTS: One hundred and twenty patients (85% follow-up) completed the 6-month postoperative assessment. Multivariable mixed-method linear regression analyses found that early postoperative fear of movement (6 weeks) predicted pain intensity, pain interference, disability, and physical health at 6-month follow-up (p<.05). Preoperative and early postoperative depression predicted pain interference, disability, and physical health.\n\nCONCLUSION:

Results provide support for the fear-avoidance model in a postsurgical this website spine population. Early postoperative screening for fear of movement and depressive symptoms that do not acutely improve following surgical intervention appears warranted. Cognitive and behavioral strategies may be beneficial for postsurgical patients with

high fear of movement and/or depressive symptoms. (C) 2014 Elsevier Inc. All rights reserved.”
“ObjectiveTo illustrate the variability in the use of antibiotic prophylaxis for caesarean section, and its effect on the prevention of postoperative infections.\n\nDesignSecondary analysis of a cross-sectional study.\n\nSettingTwenty-nine countries participating in the World Health Organization Multicountry Survey on Maternal and Newborn AZD9291 Health.\n\nPopulationThree hundred and fifty-nine health facilities with the capacity to perform caesarean section.\n\nMethodsDescriptive analysis and effect estimates using multilevel logistic regression.\n\nMain outcome measuresCoverage of antibiotic prophylaxis for caesarean section.\n\nResultsA total of 89 121 caesarean sections were performed in 332 of the 359 facilities included in the survey; 87% under prophylactic antibiotic coverage. Thirty five facilities provided 0-49% coverage and 77 facilities provided 50-89% coverage. Institutional coverage of prophylactic antibiotics varied greatly within most countries, and was related to guideline use and the practice of clinical audits, but not to the size, location of the institution or development index of the country. Mothers with complications, such as HIV infection, anaemia, or pre-eclampsia/eclampsia, were more likely to receive antibiotic prophylaxis.

The wealth of genomic information that has been made available in

The wealth of genomic information that has been made available in recent years has started to provide insights into how these remarkable pathways and their posttranslational modification machineries may have evolved. In this review, we discuss a model for the evolution of the lanthipeptide biosynthetic enzymes that has recently been developed based on the currently available data.”
“Reverse genetic systems for influenza A virus (IAV) allow the generation of genetically manipulated infectious virus from a set of transfected plasmid DNAs encoding the

eight genomic viral RNA segments (vRNA). For this purpose, cDNAs representing these eight vRNA segments are cloned into specific plasmid vectors that allow the Lonafarnib generation of vRNA-like transcripts using polymerase I (Poll). In addition, these plasmids support the transcription of viral mRNA by polymerase II (Pol II), leading to the expression of viral protein(s) encoded by the SU5402 respective transcripts. In an effort to develop this system further, we constructed the bi-directional vector pMPccdB. It is based on pHW2000 (Hoffmann et al., 2000b) but contains additionally (i) the ccdB gene whose expression is lethal for most Escherichia coli strains and therefore used as a negative selection marker and (ii) more

efficient AarI cloning sites that flank the ccdB gene on either side. Furthermore, we used a modified one-step restriction/ligation protocol to insert the desired cDNA into the respective pMPccdB vector DNA. Both the use of a negative selection marker and an improved cloning protocol were shown to facilitate the generation of genetically engineered IAV as illustrated in this study by the cloning and rescue of the 2009 pandemic isolate A/Giessen/6/2009 (Gi-H1N1). (C) 2013 Elsevier B.V. All rights reserved.”
“Multipotent mesenchymal

stromal cells (MSCs) are tested in numerous clinical trials. Questions have been raised concerning fate and function of these therapeutic cells after systemic infusion. We therefore asked whether culture-expanded human MSCs elicit an innate immune attack, termed instant blood-mediated inflammatory reaction (IBMIR), which has previously been shown to compromise the survival and function of systemically 4SC-202 chemical structure infused islet cells and hepatocytes. We found that MSCs expressed hemostatic regulators similar to those produced by endothelial cells but displayed higher amounts of prothrombotic tissue/stromal factors on their surface, which triggered the IBMIR after blood exposure, as characterized by formation of blood activation markers. This process was dependent on the cell dose, the choice of MSC donor, and particularly the cell-passage number. Short-term expanded MSCs triggered only weak blood responses in vitro, whereas extended culture and coculture with activated lymphocytes increased their prothrombotic properties.

Because premorbid (baseline) performance metrics are not typicall

Because premorbid (baseline) performance metrics are not typically available for deployed service members as for athletes, clinicians commonly determine duty readiness based upon the absence of

postconcussive symptoms and return to “normal” performance on clinical assessments not yet validated in the military population. Although practices described in the sports concussion literature guide “return-to-play” determinations, resolution of symptoms or improvement of isolated impairments may be inadequate to predict readiness in a military operational environment. Existing clinical metrics informing RTD decision making are limited because they fail to emphasize functional, warrior task demands and they lack versatility to assess click here the effects of comorbid deficits. Recently, a number

of complex task-oriented RTD approaches have emerged from Department of Defense laboratory and clinical settings to address this gap. Immersive virtual reality environments, field-based scenario-driven Alisertib assessment programs, and militarized dual-task and multitask-based approaches have all been proposed for the evaluation of sensorimotor and cognitive function following TBI. There remains a need for clinically feasible assessment methods that can be used to verify functional performance and operational competence in a variety of practice settings. Complex and ecologically valid assessment techniques incorporating dual-task and multitask methods may prove useful in validating return-to-activity requirements in civilian and military populations.”
“”Cootie Genetics” is a hands-on, inquiry-based activity that enables students to learn the Mendelian laws of inheritance and gain an understanding of genetics principles and terminology. The activity begins with two true-breeding

Cooties of the same species that exhibit five observable trait differences. Students observe the retention or loss of traits among first-generation heterozygotes, hypothesize what happened to these traits, and design an experiment to test their hypo theses by mating the first-generation Cooties. With the second generation, Mendel’s principles of segregation and independent assortment of alleles are observed; dominant and recessive traits and tools students need to construct Punnett squares are selleck inhibitor apparent.”
“Tsetse flies (Diptera: Glossinidae) are considered primary cyclical vectors that transmit pathogenic trypanosomes in Africa. They harbour a variety of microbes including Wolbachia, Sodalis and the salivary gland hypertrophy virus (SGHV) which are all vertically transmitted. Knowledge on tsetse microbiome and their interactions may identify novel strategies for tsetse fly and trypanosomiasis control. Areawide application of such strategies requires an understanding of the natural microbiome frequency in the different species and subspecies of Glossina in their geographical populations.

With the lumbar spine modelled as two segments, the lower

With the lumbar spine modelled as two segments, the lower

lumbar (LLx) and upper lumbar (ULx) regions made different contributions to STS: F-1,F- (27) = 21.8; p < 0.001. No between-gender differences were found with the lumbar spine modelled as a single region (combined lumbar: CLx), however, modelled as two regions there was a significant gender difference between the LLx and ULx regions: F-1,F- 27 = 7.3 (p = 0.012). The results indicate that modelling the lumbar spine as a single segment during STS does not adequately represent lumbar spine kinematics and there are important gender differences. These findings also need to be considered when investigating STS in clinical populations. (C) 2013 Elsevier Ltd. All 4EGI-1 inhibitor rights reserved.”
“Cu-0 nanoparticles were deposited on a nanoporous polymer to develop a novel nanocatalyst (Cu-B) for carrying out Ullmann coupling of aryl halides with amines in water. Non-aqueous polymerization of a mixture of divinylbenzene and acrylic acid under hydrothermal conditions followed by the deposition of Cu-0 nanoparticles were adopted to afford the Cu-B nanocatalyst. In order to compare the catalytic activity of the Cu-B

nanocatalyst in the Ullmann coupling reactions, another nanocatalyst, Cu-0 nanoparticle-loaded porous carbon (Cu-A), was also prepared. All the newly developed Cu-0 nanoparticle-based nanocatalysts were thoroughly characterized using

several characterization techniques. The Ullmann coupling reactions were carried out in water only with 1.35 mol% loading of Cu as catalytically active sites in Cu-B. The Torin 2 Cu-B nanocatalyst exhibited higher catalytic activity as compared with Cu-A, and also showed a good catalytic recyclability with buy PFTα a high consistence in the catalytic activity. No Cu leaching from the nanocatalyst surface and the smooth nanocatalyst recovery confirm the true heterogeneity in these catalytic reactions.”
“Aims Oesophageal temperature monitoring with single-sensor probe (SSP) has a variable ability to predict oesophageal ulceration as a consequence of pulmonary vein isolation (PVI). Multi-sensor self-expandable probes (MSPs) may offer improved thermal monitoring. The objective of this study was to compare the thermodynamic characteristics of both probes during PVI. Methods and results This prospective study enrolled 20 patients undergoing index PVI. Ten patients (group A) underwent dual monitoring with SSP and MSP and 10 control patients (group B) were monitored with SSP alone. Time to initial rise ( bigger than 0.2 degrees C), time to 1.0 degrees Crise, peak temperature, and decay were recorded with each posterior wall lesion (20W, 198 applications). The operator was blinded to the MSP temperature data and ablation was only interrupted when SSP temperature increased by bigger than = 2 degrees C.