As a result, thermal diffusivity of thin films in a thickness ran

As a result, thermal diffusivity of thin films in a thickness range from 0.1 to 300 mu m at a temperature range from 10 to 570 K is obtained. The thickness dependence of thermal diffusivity of spin-coated layers of PIQ exhibits a good coincidence with the tendency of molecular anisotropy observed by attenuated total reflection Fourier transform infrared spectroscopy. In the low temperature below 20 K the Entinostat clinical trial amorphous

PMDA/ODA film exhibits a substantial increase, which can be understood by considering the phonon mean free path of amorphous systems as first noted by Kittel for inorganic glasses. The glass transition of BTDA/DAB is observed as a rapid decrease of thermal diffusivity. The results indicate the availability of TWA for the present needs of accurate but simple measuring technique to determine the thermal diffusivity of thin polymer films, which is strongly dependent on the chemical and anisotropic structures. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3116509]“
“Benign paroxysmal torticollis is an under-recognized cause of torticollis of early infancy. The attacks usually last for less than 1 week, recur from every few days to every few months, improve by age 2 years, and end by age 3. There very frequently is a family history of migraine. We did a detailed analysis of 10 cases of benign

paroxysmal torticollis, seen over 5 years, and compared our findings with those in the 103 cases in the literature. selleck chemicals llc Detailed neurodevelopmental assessments, available only in our cases, showed accompanying gross motor delays in 5/10 children, with additional fine motor delays in 3/5. As the benign paroxysmal torticollis improved, so did the gross motor delays in 3/5, and the fine motor delays LY2835219 in 1/3. In all of our cases, at least 2 other family members had migraine. Benign paroxysmal torticollis is likely an age-sensitive, migraine-related disorder, commonly

accompained by delayed motor development.”
“The endoplasmic reticulum (ER) is the primary subcellular organelle where proteins are synthesized and folded. When the homeostasis of the ER is disturbed, unfolded or misfolded proteins accumulate in the ER lumen, resulting in ER stress. In response to ER stress, cells activate a set of tightly controlled regulatory programs, known as the unfolded protein response (UPR), to restore the normal function of the ER. However, if ER stress is sustained and the adaptive UPR fails to eliminate unfolded/misfolded proteins, apoptosis will occur to remove the stressed cells. In recent years, a large body of studies has shown that ER stress-induced apoptosis is implicated in numerous human diseases, such as diabetes and neurogenerative diseases.

Anti-acetylcholine antibodies were markedly elevated in the mothe

Anti-acetylcholine antibodies were markedly elevated in the mother’s serum, although she showed no clinical signs of myasthenia gravis. It is very likely that her previous baby also had unrecognized transient myasthenia gravis.”
“Amorphous iron nanoparticles were synthesized using an aqueous reduction in iron(II) sulfate

with sodium borohydride and sodium citrate. this website Various radio frequency (rf) exposure times were investigated in order to determine trends in nonclassical crystallization. RF times from 15 to 300 s revealed an increase in crystallite size from 5 to 60 nm, as determined by powder x-ray diffraction. Also, solvent optimization revealed that ethanol produced the largest trends for increasing crystallite size without total oxidation of the samples. Magnetic characterization by room temperature vibrating sample magnetometry and high resolution transmission microscopy was performed to verify magnetic properties and particle morphology. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3334169]“
“BackgroundMohs micrographic surgery (MMS) is an accepted treatment for nonmelanoma skin cancer and has an evolving role in melanoma.

ObjectiveTo review oncologic outcomes of MMS and wide local excision (WLE) treatments for facial melanoma.

Methods and MaterialsA retrospective review

of patients with invasive melanoma of the face between 1997 and 2007 identified from the Alberta Cancer Registry (Canada) was performed. AZD9291 Outcome measures were local recurrence (recurrence <2cm

from excision scar), distant recurrence (regional or systemic), and disease-specific survival.

ResultsOne SNS-032 chemical structure hundred fifty-one patients were available for analysis (60 MMS, 91 WLE). Median follow-up time was 48months. The groups differed in tumor location and mitotic rate. Overall, there was no significant difference in 5-year local recurrence (7.9% WLE vs 6.2% MMS, p=.58), regional or systemic recurrence (18.8% vs 8.8%, p=0.37) or disease-specific survival (82.8% vs 92.4%, p=.59). Breslow thickness was the only consistent predictor of local recurrence or other recurrence and disease-specific survival on multivariate analysis. Subset analysis of tumors with Breslow thickness less than 2mm did not reveal any difference in outcomes.

ConclusionMohs micrographic surgery has oncologic outcomes of local recurrence, distant recurrence and overall survival similar to those of WLE for invasive facial melanoma.”
“Forty-five children treated with 82 courses of 15 different antibiotics over 344 weeks during outpatient parenteral antibiotic therapy were evaluated for adverse drug events (ADE). Fifty-one percent of the courses had all associated ADE and 32.5%, of the antibiotic courses were discontinued because of ADE. Vancomycin had the highest ADE rate at 85.7% and ceftriaxone had the highest ADE-related discontinuation rate at 66.7%. Cefazolin had the lowest rate of ADE and ADE-related discontinuation rates at 0% for both.


“Background The prevalence of overweight and obesity is i


“Background. The prevalence of overweight and obesity is increasing and represents a primary health concern. Body composition evaluation is rarely performed in overweight/obese subjects, and the diagnosis is almost always achieved just selleckchem considering body mass index (BMI). In fact, whereas BMI can be considered an important tool in epidemiological surveys, different papers stated the limitations of the use of BMI in single individuals. Aim. To assess the determinants of body composition in overweight and obese subjects. Methods. In 103 overweight or obese subjects (74 women, aged 41.5 +/- 10 years, and 29 men, aged 43.8 +/-

8 years), a multidimensional evaluation was performed including the assessment of body composition using Dual Energy X-Ray Absorptiometry (DXA), anthropometry, bioimpedance analysis (BIA), and biochemical parameters (total cholesterol, triacylglycerol, HDL- and LDL-cholesterol, free fatty acids and glycerol, glucose, insulin, C-reactive protein, plasma acylated and unacylated ghrelin, adiponectin, and leptin serum levels). Results. BMI does not represent the main predictor of FM estimated by DXA; FM from BIA and hip circumference showed a better association with FM from DXA. Moreover, models omitting

BMI explained a greater part of variance. These data are confirmed by the predictive value analysis where BMI showed a performance similar to a “”coin flip.”"”
“This study examined relations between stress and coping predictors and negative (distress) and positive selleck chemical (positive affect, life satisfaction, positive states of mind, health) adjustment outcomes in colorectal cancer caregivers. A total of 622 caregivers and their care-recipients completed questionnaires and interviews. Predictors included caregiving parameters, social support, appraisal (stress, control, challenge), and coping strategies

(problem-solving, avoidance, substance use, selleck screening library religion, humor, seeking social support). Regression analyses indicated that after controlling for the effects of relevant caregiving parameters (caregiver age, gender and paid employment status, care-recipient quality of life, cancer stage), better caregiver adjustment was related to higher social support, lower stress and higher challenge appraisals, and less reliance on avoidance and substance use coping, as hypothesized. Stress appraisal emerged as the strongest and most consistent predictor of all adjustment outcomes. Findings support the utility of the stress and coping model of adjustment to caregiving in colorectal cancer. Copyright (C) 2009 John Wiley & Sons, Ltd.”
“Flavonoids play critical roles in legume-rhizobium symbiosis. However, the role of individual flavonoid compounds in this process has not yet been clearly established.

It is apparent that vitamin D has significant effects on the immu

It is apparent that vitamin D has significant effects on the immune system and as such may contribute to the pathogenesis of autoimmune disease. This review examines the evidence-to-date that vitamin D has a role in immune-mediated rheumatic disorders.

Recent findings

Low vitamin

D status is reported in many inflammatory rheumatic conditions. In some this extends to an association with disease activity. Vitamin D acts on a number of cells involved in both innate and acquired immunity biasing the adaptive immune system away from Th17 and Th1, towards Th2 and Tregs. Deficiency accordingly could encourage autoimmunity. Direct evidence for this plausible mechanism in specific diseases remains largely to be

demonstrated. To date, there is a dearth of controlled trials of vitamin D in prophylaxis or therapy.

Summary

Vitamin D deficiency may well be an important factor in autoimmune rheumatic disease, including initial https://www.selleckchem.com/products/BKM-120.html disease development and worsening the disease once present. This is testable and there is a pressing need for therapeutic studies.”
“We aimed to characterize the different subgroups of ketosis-prone diabetes (KPD) in a sample of Tunisian patients using the A beta scheme based on the presence or absence of beta-cell autoantibodies (A+ or A-) and beta-cell functional reserve (beta+ or beta-) and we investigated whether HLA class II alleles could contribute to distinct 3-Methyladenine cost KPD phenotypes. We enrolled 43 adult patients with a first episode of ketosis. For all patients we evaluated clinical parameters, beta-cell autoimmunity, beta-cell function and HLA class II alleles. Frequency distribution of the 4 subgroups was 23.3% A+beta-, 23.3% A-beta-, 11.6% A+beta+ and 41.9% A-beta+. Patients from the group A+beta- were significantly younger than those from the group A-beta- (P = .002).

HLA susceptibility markers were significantly more frequent in patients with autoantibodies (P = .003). These patients also had resistance alleles but they were more frequent in A+beta+ than A+beta- patients (P = .04). Insulin requirement was not associated https://www.sellecn.cn/products/pf-4708671.html to the presence or the absence of HLA susceptibility markers. HLA class II alleles associated with susceptibility to autoimmune diabetes have not allowed us to further define Tunisian KPD groups. However, high prevalence of HLA resistance alleles in our patients may reflect a particular genetic background of Tunisian KPD population.”
“Study Design. Prospective, randomized, double-blind study.

Objective. To evaluate intravenous corticosteroids in preventing delayed extubation after multilevel corpectomy and strut graft reconstructive procedures and to identify risk factors for delayed extubation in these patients.

Summary of Background Data. We performed a prospective, randomized double-blind study in patients undergoing multilevel cervical corpectomy procedures.

A translational approach should attempt to standardize and valida

A translational approach should attempt to standardize and validate those models, assays, and biomarkers that could be used in regulatory non-clinical safety studies as well as clinical studies. Beyond translational immunologic safety, immune monitoring during clinical selleckchem studies is intended to identify and evaluate potential immune safety issues not seen in non-clinical studies. Based on this overview of the current knowledge, it can be concluded that much remains to be done to conduct translational studies helpful to enhance the immunologic safety of drugs and chemicals.”
“BackgroundIndia has 275 million adult tobacco users and tobacco use is estimated

to contribute to more than a million deaths in the country each year. There is an urgent need to develop and

evaluate affordable, practicable and scalable interventions to promote cessation of tobacco use. Because tobacco use is so harmful, an increase of as little as 1 percentage point in long-term quit success rates can have an important public health impact. This protocol paper describes the rationale and methods of a large randomized controlled trial which aims to evaluate the effectiveness of a brief scalable smoking cessation intervention delivered by trained health professionals as an outreach programme in poor urban communities in India.

Methods/designThis is a pragmatic, two-arm, community-based cluster randomized controlled trial focused on tobacco users in low-income communities. The buy Oligomycin A treatment arm is a brief intervention comprising brief advice including training in craving control using simple yogic breathing exercises (BA-YBA) and the control arm is very brief advice (VBA). Of a total of 32 clusters, 16 will be allocated to the intervention arm and 16 to the control arm. Each cluster will have 31 participants, making a total of 992 participants. The primary outcome measure will follow the Russell Standard: self-report

of sustained abstinence for at least 6 months following the intervention confirmed at the final follow-up by salivary cotinine.

DiscussionThis trial will inform national and international policy on delivery of scalable and affordable brief outreach interventions to promote tobacco use cessation in low resource settings where tobacco users have limited access to physicians Nec-1s purchase and medications.”
“The aim of this study was to prepare lipid microparticles (LMs) loaded with the polar bronchodilator agent salbutamol, and designed for sustained release pulmonary delivery. The microparticles were produced by melt emulsification followed by a sonication step, using different biocompatible lipid carriers (tristearin, stearic acid and glyceryl behenate) and phosphatidylcholine as the surfactant. The use of salbutamol free base, rather than salbutamol sulphate, was necessary to obtain the incorporation of the drug in the lipid particle matrix.

Proper temperature was required to catch the tough-brittle transi

Proper temperature was required to catch the tough-brittle transition induced by phase separation. (c) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 121: 445-453, 2011″
“Objective. The aim of the present Selleck GF120918 study was to evaluate the feasibility of clinically applying facial-submental artery island flaps on primary reconstruction of oral floor defects following cancer ablation.

Study design. Facial-submental artery island flaps were used to repair defects in the floor of the mouth after

cancer ablation in 7 patients (5 men and 2 women; age range, 43-64 years; average age, 51.2 years). Two patients were classified as T1NoMo, and 5 were classified as T2NoMo. The skin paddles ranged in size from 4.0 x 10.0 cm to 5.0 x 11.0 cm.

Results. Six flaps survived completely,

and the success rate was therefore 86% (6 of 7). The remaining flap showed minimal partial necrosis. All of the patients were followed for 6 to 25 months. The speech and swallowing functions following surgery were well recovered, and the patients were satisfied with their facial appearance.

Conclusion. Facial-submental artery island myocutaneous flaps are suitable for repairing small and medium-sized defects of the oral floor. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e12-e16)”
“Lasers are widely used to click here modify the internal structure of semitransparent materials for a wide variety of applications, including waveguide fabrication and laser glass damage healing. The gray diffusion approximation used in past models to describe radiation cooling is not adequate

for these materials, particularly near the heated surface layer. In this paper we describe a computational model based upon solving the radiation transport equation in 1D by the P(n) method with similar to 500 photon energy bands, and by multi-group radiation diffusion in 2D with fourteen photon energy bands. The model accounts for the temperature-dependent absorption of infrared laser light and subsequent redistribution of the deposited heat by both radiation and conductive transport. We present representative results for fused silica irradiated with 2-12 W of 4.6 or 10.6 mm laser light for 5-10 s pulse durations in a 1 mm spot, which this website is small compared to the diameter and thickness of the silica slab. We show that, unlike the case for bulk heating, in localized infrared laser heating radiation transport plays only a very small role in the thermal response of silica. (C) 2011 American Institute of Physics. [doi: 10.1063/1.3549829]“
“In this article, we present a facile method for the synthesis of an azo-group-bound silica (SiO(2)-azo) initiator. The azo groups were introduced onto the surface of silica (SiO(2)) nanoparticles via facile condensation between 4,4`-azobis-4-cyanopentanoic acid and the alkyl-hydroxyl groups – immobilized on the SiO(2) nanoparticle surface under ambient conditions.

Two study groups were identified: patients taking 100 mg ASA dail

Two study groups were identified: patients taking 100 mg ASA daily but without clopidogrel, and patients taking both 100 mg ASA and 75 mg clopidogrel daily. Platelet function was determined with the Multiplate analyzer to determine platelet responsiveness. Salicylate blood level was measured for all patients on ASA. Seventy-three patients (26%) were determined to be nonresponsive to ASA, and 45

patients (16%) were partially responsive, whereas 164 patients (58.2%) were responsive to ASA. Myocardial infarction and coronary obstruction were both strongly associated with ASA nonresponsiveness (p < 0.001). ASA resistance occurred more in female patients (p = BAY 1895344 0.002). The salicylate blood level was found to be low in ASA-resistant patients (35.33 +/- 50.22 mg/l) and higher in sensitive patients (54.26 +/- 18.7 mg/l; p < 0.001). Quantitative selleck compound assessment of platelet functions is predictive of ASA treatment failure in individual patients. Dual antiplatelet treatment with clopidogrel and ASA was

found to have greater inhibitory effects on platelet aggregation than either agent alone. Non-adherence may be a significant mediator of poor outcome.”
“Background: Given the importance of CD4-T-lymphocyte monitoring in HIV/ART management, we established CD4/CD8 reference ranges in Uganda and studied factors associated with CD4/CD8 in a normal population.

Methods: Blood samples for 206 HIV seronegative healthy volunteers from the Mbarara and Kampala districts in Uganda were analyzed using the PanLeucogating protocol.

Results: The reference ranges reported include data from 172 participants with no current or serious recent health problems. The 95%

reference ranges for absolute CD4 (ACD4) count was 418-2105 cells/mu L, 256-1619 for absolute CD8 count, and 0.52-4.1 for CD4/CD8 cell ratio, which is wider than the reference ranges currently used in Uganda. Recent illnesses/medications and socio-demographic factors affected the CD4-T-lymphocyte count.

Conclusion: The CD4 reference ranges in Uganda were established using a cost-effective method, www.sellecn.cn/products/z-devd-fmk.html recommended and available in resource-limited settings. Effect of prevalent infections and socio-demographic differences on CD4-T-lymphocyte levels would need consideration in HIV/ART clinical management.”
“Background: Despite ample evidence of the presence of mental and psychological disorders observed in the family members of drug users, few studies have attempted to focus on suicidal behavior in women whose spouses are drug users.

Methods: This cross-sectional study focused on 131 women who had a drug user spouse. They had all been married for >2 years, with no mental or psychological disorders and no history of drug use prior to marriage.

Study design Thirty-three skeletal class III malocclusion (SCIII

Study design. Thirty-three skeletal class III malocclusion (SCIII) patients treated with MSS (bilateral sagittal split ramus osteotomy) were subdivided according to extent of MSS, vertical skeletal pattern (VP), and vertical-reduction genioplasty. Lateral cephalograms and 3D facial scan images were taken before and 6 months after surgery. Linear and angular variables were measured with Rapidform 2006 (Inus Technology).

Results. After MSS, there Cell Cycle inhibitor were significant increases in the upper lip length and decreases in the lower lip length in the large setback, hypodivergent,

and genioplasty groups. The mentolabial fold deepened less in the genioplasty group than in other groups. Although there was no skeletal advancement of the maxilla, the soft tissue convexity in the paranasal area increased more in the hyperdivergent group than in the hypodivergent group after MSS.

Conclusion. The extent of MSS, VP, and genioplasty could be used as guidelines for 1- and 2-jaw surgeries in SCIII borderline cases. Dactolisib (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e20-e32)”
“Methods: Patients in the United States with clinical indications for extraction of CRM devices were consented. Antemortem CRM devices were cleaned and sterilized following a protocol

established at our institution. Surveillance in vitro cultures were performed for quality assurance. The functional status of pulse generators was tested with a pacing system analyzer to confirm at least 70% battery life. Most generators were transported, in person, to an implanting institution in Nicaragua. Recipients with a Class I indication for CRM implantation, and meeting economical criteria set forth, were

consented for implantation of a recycled device.

Results: Between 2003 and 2009, implantation was performed in 17 patients with an average age of 42.1 +/- 20.3 years. Of the 17 patients, nine were male and eight were female. Mean follow-up was 68 +/- 38 months. Device evaluation occurred prior to discharge, 4 weeks post implantation, and every 6 months thereafter. There were three deaths during the follow-up period secondary to myocardial infarction, stroke, and heart failure. Hematoma formation occurred in one patient. No infections, early battery depletion, or device malfunction were identified during selleck compound follow-up.

Conclusions: Our case series is the longest follow-up of recipients of recycled antemortem CRM devices. Our findings support the feasibility and safety of this alternative acquisition of life-saving technology. (PACE 2011; 1-6).”
“Direct pulp capping is treatment of an exposed vital pulp with a dental material to facilitate the formation of reparative dentin and maintenance of vital pulp. It has been studied as an alternate way to avoid vital pulp extirpation. However, the success rate of pulp capping is much lower than that of vital pulp extirpation.

These corresponded to a cubosome formulation made from 100 mg of

These corresponded to a cubosome formulation made from 100 mg of monoolein, 107 mg of polymer, and 2 mg with average diameter of 104.7 nm and an encapsulation efficiency of 6.9%. The Box-Behnken design proved to be Vorinostat purchase a useful tool to optimize the particle size of these drug-loaded cubosomes. For encapsulation efficiency (Y (2)), further studies are needed to identify appropriate regression model.”
“In this study we describe a simple method to fabricate microarrays of polystyrene microbeads (PS-mu beads) on Thermanox coverslip surfaces using laser induced forward transfer (LIFT). A triazene polymer layer which

acts as a dynamic release layer and propels the closely packed microspheres on the receiving substrate was used for this approach. The deposited features were characterized by optical microscopy, scanning electron microscopy, atomic force microscopy, GF120918 purchase and Raman spectroscopy. Ultrasonication was used to test the adherence of the transferred beads. In addition, the laser ejection of the PS-mu beads pixels was investigated by time resolved shadowgraphy. It was found that stable PS-mu beads micropatterns without any specific immobilization process could be realized by LIFT. These results highlight the increasing role of LIFT in the development of biomaterials, drug delivery, and tissue engineering. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3466746]“
“Liquid

gel polymer electrolyte (LGPE) based on chitosan, ammonium nitrate, and acetic acid with a ratio of 1.9 : 0.17 : 96.3 wt % gives the highest conductivity MK-8931 price of (1.46 +/- 0.07) 10(-1) S cm(-1) at room temperature. This optimized composition of electrolyte is then used in proton batteries with the configuration of Zn + ZnSO4 center dot H2O/LGPE/MnO2. The open circuit voltage of battery is 1.41 V during 48 h of storage. The battery obtained a discharge capacity of 27.90 mA h(-1) upon discharge at 1.0 mA current. The maximum power density for the battery is 3.67 mW cm(-2). (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 118: 1240-1243, 2010″
“The purpose of this study is to investigate

the combined influence of process parameters (independent variables) such as homogenization speed (X (1)), duration (X (2)), and temperature (X (3)) during the preparation of dacarbazine-loaded cubosomes. Box-Behnken design was used to rationalize the influence of these three factors on two responses, namely particle size (Y (1)) and encapsulation efficiency (Y (2)). Independent and dependent variables were analyzed with multiple regressions to establish a full-model second-order polynomial equation. F value was calculated to confirm the omission of insignificant parameters or interactions of parameters from the analysis to derive a reduced-model polynomial equation to predict the Y (1) and Y (2) of dacarbazine-loaded cubosomes. Pareto charts were also obtained to show the effects of X (1), X (2), and X (3) on Y (1) and Y (2).

A total of 1218 caregivers participated in the 5-year follow-up n

A total of 1218 caregivers participated in the 5-year follow-up nationwide QOL Survey for Caregivers. Demographics and caregiving experiences were measured 2 years postdiagnosis of their relative’s cancer. Multidimensional aspects of QOL were assessed, including mental and physical health, psychological adjustment, and spirituality at 5 years post-diagnosis.

Results. Three groups of caregivers were identified: former caregivers due to the recipients being in remission, former caregivers whose recipients were deceased, selleck screening library and current caregivers. Current caregivers reported worst levels of QOL. Bereaved

caregivers reported lower levels of psychological and spiritual adjustment than former caregivers whose recipients were in remission. In addition, caregivers’ age and stress were consistent predictors of QOL across three caregiver groups at 5 years post-diagnosis.

Conclusions. The findings help to increase evidence-based Fosbretabulin inhibitor awareness of the long-term impact of cancer on the family caregivers’ QOL. Findings also have implications for

developing programs, whereby family caregivers in the various phases of caregivership will benefit by improving their QOL. Copyright (C) 2010 John Wiley & Sons, Ltd.”
“Study Design. Systematic Review.

Objectives. To assess the effects of massage therapy for nonspecific low back pain.

Summary of Background Data. Low back pain is one of the most common and costly musculoskeletal problems in modern society. Proponents of massage therapy claim it can minimize pain and disability, and speed return to normal function.

Methods. We searched MEDLINE, EMBASE, CINAHL from their beginning to May 2008. We also searched the Cochrane Central selleck Register of Controlled Trials (The Cochrane Library 2006, issue 3), HealthSTAR and Dissertation abstracts up to 2006. There were no

language restrictions. References in the included studies and in reviews of the literature were screened. The studies had to be randomized or quasi-randomized trials investigating the use of any type of massage (using the hands or a mechanical device) as a treatment for nonspecific low back pain. Two review authors selected the studies, assessed the risk of bias using the criteria recommended by the Cochrane Back Review Group, and extracted the data using standardized forms. Both qualitative and meta-analyses were performed.

Results. Thirteen randomized trials were included. Eight had a high risk and 5 had a low risk of bias. One study was published in German and the rest in English. Massage was compared to an inert therapy (sham treatment) in 2 studies that showed that massage was superior for pain and function on both short- and long-term follow-ups. In 8 studies, massage was compared to other active treatments. They showed that massage was similar to exercises, and massage was superior to joint mobilization, relaxation therapy, physical therapy, acupuncture, and self-care education.