An inversion recovery (180°-TI-90°) imaging pulse sequence was us

An inversion recovery (180°-TI-90°) imaging pulse sequence was used to measure the T1 relaxation times: eight inversion times (TI) that ranged from 0.5 to 15 s were applied. Echo time was 4 ms. A Carr-Purcell-Meiboom-Gill

spin-echo imaging pulse sequence was used to measure T2 relaxation times [21]. A train of 16 echoes was acquired and the delay (τ) between 180° pulses was 10 ms. Single exponential relaxation times were calculated from experimental data using Bruker Paravision software. learn more Fourier-transformed, 3D MRI data were visualized using Amira imaging PC-based software (Visage Imaging, Inc., San Diego, CA, USA). This allowed 2D slices to be viewed from any angle within the 3D data set and regions of interest segmented, finite element meshes were generated and then surface rendered. Thus anatomy could be visualized and volumetric measurements determined. Quail eggs between Incubation Day 0 and 3 were exposed to a high static 7 T magnetic field, linear magnetic

field gradients (with maximum gradient amplitude of 200 mT/m) and 300 MHz rf pulses for several hours (average of 7 h) (test group). This long exposure time was to determine whether the high magnetic fields had any adverse affects upon embryonic development. Eggs removed from the incubator for the same period of time but not subjected to external magnetic fields made up the control group. After MRI scanning, test and control eggs were returned to the incubator until Day 7. A third

group of eggs (incubator Oligomycin A datasheet Cyclin-dependent kinase 3 group) remained continuously in the incubator until Day 7. At Day 7, the quail embryos were removed from the three groups of eggs, fixed in 4% paraformaldehyde in 0.1 M phosphate-buffered saline (PBS) and left overnight at 4°C. The specimens were then washed with PBS. These embryos were observed under a microscope to assess and record the developmental stage using Hamburger/Hamilton staging [22] to monitor whether development was normal. The main aim of the study was to undertake longitudinal μMRI studies of quail embryos developing within their eggs and then quantify the developmental changes in the embryos and the extra- and non-embryonic regions. Six eggs were studied over an 8-day period. On the day the eggs arrived (Day 0), they were imaged using 3D RARE-8 MRI sequence. This fast spin-echo imaging sequence takes about 35 min to obtain, after which the eggs were placed in the incubator. Consecutive 3D images were acquired at 24-h periods. Representative MRI images are shown in Fig. 1, Fig. 2 and Fig. 3; all these images are from the same egg. Images with equivalent letters were acquired at the same time points and originate from the same MRI data set. Fig. 1 displays a 2D vertical slice from the whole egg; Fig. 2 shows 2D images of the sagittal plane through the developing quail embryo; and Fig. 3 is a 3D surface rendering of various components after segmentation using Amira software.

Session topics will include: What is flavor and why does it matte

Session topics will include: What is flavor and why does it matter?; peripheral sensory signaling and feeding; central integration; flavor and the consumer; flavor in the food industry; and future BIBW2992 in vitro directions. Registration is now open. To obtain information or to register, visit www.conf.purdue.edu/flavor. October 12, 2011, 2:00 pm–3:30 pm Eastern. Evidence suggests that early health education and intervention can reduce the

risk factors for childhood obesity and consequential adverse health risks. The “Healthy Kids: School Programs That Work” teleseminar will showcase highly effective, evidence-based strategies for implementing school-based nutrition education and intervention programs, focusing on strategic partnerships as the key to success. Participants will discover how to

gain access to valuable resources to implement best practices Crizotinib molecular weight in a variety of school nutrition program models, in order to keep children healthy and fit. Visit www.eatright.org/pd/healthykids for more information. October 17-18, 2011, Hilton Lisle Naperville, Lisle, IL. “Diabetes Science vs Non-sense: Medical Nutrition Therapy & Helping Patients Make Behavior Change” is divided into two 1-day workshops designed specifically for clinical dietitians or other health care providers who work with diabetes patients. After completing both days of the program, participants will be able to identify strategies based on the best available scientific evidence; utilize patient’s blood glucose records to maximize MNT; define pharmacological therapies for type 1 and type 2 diabetes; and apply problem solving strategies during patient encounters. Other topics covered include myth busting, diabetes medications, and behavior change. For more information, visit www.mc.vanderbilt.edu/sugarisnotapoison or email [email protected]. Online registration is available. October 25-27, 2011, Hotel DoubleTree by Hilton,

Košice, Slovakia. The next International Scientific Conference on Nutraceuticals and Functional Foods, Food and Function 2011, will facilitate worldwide co-operation between scientists and will focus on current advances in research on nutraceuticals and functional foods and their present and future role in maintaining health and preventing diseases. Leading scientists will present and discuss Tryptophan synthase current advances in research on nutraceuticals and functional foods as well as new scientific evidence that supports or questions the efficacy of already existing or prospective substances and applications. Novel compounds and controversial but scientifically solid ideas, approaches, and visions will also be presented, with particular focus on health claim substantiation and evidence-based benefits. For more information, visit www.foodandfunction.net or contact [email protected]. November 23-26, 2011, Wow Kremlin Place Hotel, Antalya, Turkey.

All animals were housed in the specific pathogen-free facility (T

All animals were housed in the specific pathogen-free facility (Tongji Medical College, Huazhong University

of Science and Technology, Wuhan, China) and had access to water and food ad libitum. All the studies were performed PCI-32765 purchase in compliance with the Principles of Laboratory animal care (NIH publication Vol 25, No. 28 revised 1996) and the Tongji Medical College Animal Care and Use Committee Guidelines. Tracheas from Balb/c mice were implanted into Balb/c mice (syngeneic, n = 45) or C57BL/6 mice (allogeneic, n = 45). Each donor tracheal graft was evenly divided into three segments, and then simultaneously implanted into orthotopic, intra-omental and subcutaneous sites of each recipient. Grafts (15 syngeneic or 15 allogeneic grafts from each transplant site) were harvested on Days 14, 21 and 28 after transplantation for histologic and immunohistologic analyses. The donors were euthanized by intraperitoneally injecting pentobarbital (80 mg/kg). A midline cervical

incision was performed Vemurafenib to expose the entire trachea. The trachea below the cricoid cartilage distal to the bifurcation was dissected, harvested, and then it was flushed and preserved with cold sterile saline at 4 °C. Prior to implantation, the full-length trachea (approximately 12 cartilage rings) was divided into three segments of 4 cartilage rings, which were then randomly transplanted into various sites respectively. The recipients were anesthetized by intraperitoneally injecting pentobarbital (50 mg/kg). Initially, a short midline cervical incision was performed to visualize the entire laryngotracheal complex. The recipient trachea was carefully dissected, and then transected at the third intercartilage below the epiglottis while spontaneous breathing was maintained. One of the 4-ring donor tracheal segments was implanted end-to-end, starting with the distal anastomosis using 9-0 Prolene suture (Ethicon). The cervical incision was closed in layers with continuous 7-0 Vicryl suture (Ethicon). Subsequently, the recipient mouse underwent Ergoloid a midline laparotomy followed by exposure of the greater omentum. The second tracheal segment

was wrapped and fixed into the greater omentum using 9-0 Prolene, and then the abdominal wall was closed in layers with continuous 7-0 Vicryl suture. Finally, a small incision was made in the dorsal suprascapular area of the recipient mice. A subcutaneous pouch was made with blunt dissection, and then the third tracheal segment was placed into it. The skin was closed with interrupted 7-0 Vicryl suture. The operative procedures were performed with the assistance of a surgical microscope (× 10 magnification) in a sterile fashion. All recipient animals received no immunosuppression. The grafts were harvested from CO2 euthanized recipient mice on Day 14, 21, and 28 after transplantation for histologic and immunohistochemical analyses.

The angiographic method chosen is influenced by other conditions

The angiographic method chosen is influenced by other conditions of the patient (Fig. 3). In patients with extensive arteriosclerosis and renal insufficiency MRA without contrast material is reasonable selleck chemical to be performed (Class IIa, Level of Evidence: C). DSA may also be considered in case of renal dysfunction because of the advantage of limiting the amount of potentially nephrotoxic contrast material (Class IIb, Level of Evidence: C). When MRA is contraindicated, e.g. in patients with claustrophobia or implanted pacemaker, CTA can be effective for patient’s evaluation

(Class IIa, Level of Evidence: C). When duplex US, CTA, or MRA suggests complete carotid occlusion, catheter-based contrast angiography might be reasonable to decide whether carotid lumen is suitable for revascularization

procedure (Class IIb, Level of Evidence: C). Carotid endarterectomy (CEA) is the gold standard for the treatment of carotid atherosclerosis. It is recommended if the degree of stenosis is more than 70% measured by non-invasive methods (Class I, Level of Evidence A) [9], or more than 50% with catheter angiography (Class I, Level of Evidence: B) [10] in symptomatic patients (TIA or ischemic stroke within the past 6 months) at average or low surgical risk with an anticipated perioperative stroke or mortality rate less than 6%. Carotid artery stenting (CAS) is an alternative method of CEA, which might be considered for patients with severe (>70%) stenosis, especially if Alectinib mouse the stenosis is difficult to access surgically (Class IIb, Level of Evidence: B) [11]. Non-invasive control of the extracranial arteries can be useful BCKDHB 1 month, 6 months and annually after revascularization (CEA/CAS) to ascertain the patency and to exclude the development of ipsi- or contralateral lesions (Class IIa, Level of Evidence: C).

Vertebral artery atherosclerosis is responsible for approximately 20% of posterior circulation stroke, which can be an underestimation because of the difficult visualization of vertebral arteries by ultrasonography [12]. The symptoms of vertebral artery disease include dizziness, vertigo, diplopia, tinnitus, blurred vision, perioral numbness, ataxia, bilateral sensory deficits and syncope. After clinical history and examination of the patient non-invasive imaging is needed in the initial evaluation process. In patients with symptoms suggesting posterior circulation deficits MRA or CTA should be preferred over ultrasonography to detect vertebral artery disease (Class I, Level of Evidence: C). If the location and degree of stenosis cannot be defined with certainty by these non-invasive methods and the patient with vertebrobasilar insufficiency symptoms may be a candidate to undergo revascularization procedure, catheter-based contrast angiography is reasonable to assess the pathoanatomy of the artery (Class IIa, Level of Evidence: C).

In practice, the interactive feedback of the atmosphere and the o

In practice, the interactive feedback of the atmosphere and the ocean at that scale is often neglected. The necessary ocean surface data is taken from an external data set, for example, a global climate simulation or a sea surface data analysis. However, examining the atmosphere separately would yield an incomplete picture of the real climate system, because the links between the different climate system components Ibrutinib cost would be missing. The use of prescribed surface ocean data might lead to an inaccuracy of the model results. For instance, Kothe et al. (2011) studied the radiation budget in the COSMO-CLM

regional climate model for Europe and North Africa using ERA40 reanalysis data (Uppala et al. 2005) as the lower boundary forcing. The authors evaluated the model outputs against re-analysis and satellite-based data. The results show an underestimation of the net short wave

radiation over Europe, and more considerable errors over the ocean. Because the lower boundary condition was prescribed with ERA40, these errors in radiation over the ocean could be due to wrongly assumed albedo values over ocean and sea ice grids. In the same way, ocean models often use atmospheric forcing datasets without active feedback from the atmosphere. Griffies et al. (2009) investigated the behaviour of STI571 concentration an ocean-sea-ice model with an atmospheric data set as the upper boundary condition. In that study, the difficulties in using a prescribed atmosphere to force ocean-sea-ice models are recognised. First of all, it is very often the case that atmospheric forcing datasets may not be ‘tuned’ specifically for the purpose of an ocean-sea-ice model experiment. For example, the above study used global atmospheric forcing data for the ocean and sea-ice model from Large & Yeager (2004). However, this dataset was originally evaluated over the ocean, not over sea ice and, thus, gives better results over open water. Moreover, the authors also demonstrated that the error consequent upon decoupling the ocean and sea ice from the interactive atmosphere could be large. One problem that is very likely to crop up is the error in the ocean salinity, due to the fresh water inflow,

especially precipitation. The prescribed Etomidate precipitation can cause a dramatic drift in ocean salinity. The second problem is the error in sea-ice area, which can lead to a wrong balance of the Earth’s radiation and an unrealistic heat transfer between atmosphere and ocean. The findings from this paper show the necessity of giving an active atmosphere feedback to the ocean instead of using a forcing dataset. The ocean-atmosphere interaction has been taken into account in many AOGCMs (Atmosphere-Ocean General Circulation Models), as shown in Giorgi (2006). However, on a global scale, the local characteristics of marginal seas cannot be resolved (Li et al. 2006) and these seas are, in fact, not well represented by AOGCMs (Somot et al. 2008).

In principle, MERIS operates in a range enabling the detection of

In principle, MERIS operates in a range enabling the detection of pigments like phycocyanin (cyanobacteria), which have specific absorption minima near wavelength 630 nm and local maxima

at wavelength 650 nm ( Kutser et al. 2006). A series of upwelling events along the northern and southern coasts of the Gulf of Finland occurred in July–August 2006. Westerly winds were dominant in July, generating moderate upwelling along the northern coast of the Gulf. Easterly winds then prevailed during the whole of August, and as a result, very intense upwelling was observed along the southern coast. The upwelling events were well documented by several studies based on in situ measurements of physical, biological and chemical parameters (Suursaar and Aps, 2007, Lips et al., 2009 and Lips and Lips, 2010). In

addition, selleck screening library remote sensing data (MERIS and MODIS) are available from that period to monitor the variability of SST and phytoplankton chlorophyll a fields. The objectives of this study were: (1) to validate the MERIS chlorophyll product retrieved with the Tyrosine Kinase Inhibitor Library Free University of Berlin (FUB) case 2 waters processor using in situ measurements of Chl a, and (2) to assess the spatial and temporal variability of the Chl a field caused by consecutive upwelling events using MERIS data. This paper is structured as follows: section 2 describes the in situ, remote sensing and wind data, as well as the methodology; in section 3, the comparability of in situ and satellite chlorophyl a data is evaluated, the sequence of upwelling events is described on the basis of MODIS SST, MERIS chlorophyll is compared with in situ chlorophyl a, and the upwelling-related variability Carnitine dehydrogenase of the chlorophyl a field from MERIS data is described; section 4 discusses the results of the SST and chlorophyl

a surface distributions; the final conclusions are drawn in section 5. The in situ data were obtained during five surveys (Table 1) conducted along the same transect between Tallinn and Helsinki (Kuvaldina et al. 2010). Water samples for phytoplankton and Chl a analysis were collected from 14 stations, each about 5.2 km apart ( Figure 1). Three (but two in the case of the shallow upper mixed layer) water samples were taken from the upper mixed layer (UML, from a depth of 1 m down to the seasonal thermocline) to form a pooled sample for each station. The depth of the UML was determined from the CTD profile, which preceded water sampling. Chl a content was measured spectrophotometrically (Thermo Helios γ; photometric accuracy: ± 0.005 A at 1 A) from the pooled samples in the laboratory ( HELCOM 1988). On 19–20 July, two (TH19, TH21) out of five pooled samples were cloud-free on the satellite imagery. Because of inclement weather conditions, only surface samples (n = 8) were collected at stations TH1–TH15. Phytoplankton species composition and biomass were analysed for each survey from pooled samples (Lips & Lips 2010).

Treatment-specific

effects were related to type of impair

Treatment-specific

effects were related to type of impairment, with semantic treatment related to improved semantic processing and phonologic treatment related to improvement of phonologic processing. The authors suggest that improvement in either linguistic route may contribute to improved verbal communication patterns. Dahlberg et al38 conducted a class I study to investigate the efficacy of social communication skills training for 52 participants with TBI who were at least 1 year postinjury. Training incorporated pragmatic language skills, social behaviors, and cognitive abilities required for successful social interactions. Between-group analyses demonstrated a significant treatment effect on 7 of 10 scales on the Profile of Functional Impairment in Communication and on the Social Communication see more Skills Questionnaire, as well as improved quality of life at 6-month follow-up. Another class Ia study41 Nivolumab molecular weight investigated social communication skills training among 51 participants with acquired brain injury, predominantly TBI, who were at least 12-months postinjury and residing in the community. Participants either received social skills training, an equivalent amount of group social activities (eg, cooking,

board games), or no treatment. The social skills training was devoted to pragmatic communication behaviors (listening, starting a conversation) and social perception of emotions and social inferences, along with psychotherapy Cytidine deaminase for emotional adjustment. When compared with both control conditions, social communication skills training produced significant improvement in participants’ ability to adapt to the social context of conversations. Two class I studies conducted

a more detailed investigation of the intervention for social and emotional perception. Improvements were noted in recognition of emotional expressions but these improvements were not reflected on a more general measure of psychosocial functioning.39 A subsequent study compared errorless learning and self-instructional training strategies for treating emotion perception deficits.40 Both interventions resulted in modest improvements in judging facial expressions and drawing social inferences, with some advantage for self-instructional training. There is a continued need to investigate the aspects of intensive language treatment (eg, timing, dosage) that contribute to therapy effectiveness. Although, therapy intensity should continue to be considered as a factor in the rehabilitation of language skills after left hemisphere stroke (Practice Guideline) ( table 4). Four class I or Ia studies38, 39, 40 and 41 support the task force’s recommendation of social communication skills interventions for interpersonal and pragmatic conversational problems for people with TBI (Practice Standard) (see table 4).

However, there was no clear relationship between the size and

However, there was no clear relationship between the size and

extent of the CTb injection and the number of retrogradely labelled cells in either C7 or L4. Although Lima (1990) identified the DRt as a major target for axons of lamina I neurons, Raboisson et al. (1996) reported that the main spinal inputs to this nucleus came from the deep dorsal horn. Small tracer injections that were largely restricted to the NTS have been shown to label significant numbers of lamina I cells (Menétrey and de Pommery, 1991) and ascending projections from superficial dorsal horn to NTS have been identified (Slugg and Light, 1994 and Raboisson et al., 1996). Interestingly, AZD6244 datasheet in one experiment in which CTb was injected more laterally, resulting in extensive filling of DRt but with little labelling in the medial part of the NTS, we found very few lamina I cells labelled at either lumbar or cervical levels (A.J. Todd and E. Polgár, unpublished observations). It is therefore likely that the NTS, rather than the DRt, is the main dorsal medullary target for lamina I neurons, and the findings of Lima (1990) may be explained by spread of tracer into the NTS in her study. Previous studies have provided evidence that most lamina I neurons in the lumbar enlargement that are retrogradely labelled from thalamus, selleck PAG or CVLM can also be labelled from LPb. Spike et al. (2003) reported that following injection of tracers into PAG and LPb, 97% of lamina I spino-PAG

cells in L4 were double-labelled, and Al-Khater and Todd (2009) found that 97% of lamina I spinothalamic cells in L3–5 segments were labelled from LPb. Spike et al. (2003) also observed that when injections were made into both LPb and CVLM, 85% of labelled cells contained Fluorogold transported

from Carnitine palmitoyltransferase II the LPb. More recently we have used the same injection strategy and found that a higher proportion (∼ 95%) were labelled from LPb (Al Ghamdi et al., in press). This difference was attributed to the increased sensitivity for detection of Cy5 (to reveal Fluorogold) of a gallium arsenide phosphide photomultiplier tube that was used in the latter study. The results of the present experiments extend these findings, by demonstrating that virtually all of the lamina I neurons labelled from the dorsal medulla are also included in the population labelled from LPb. Al-Khater and Todd (2009) reported that 99% of spinothalamic lamina I neurons in C7 and C8 segments were retrogradely labelled from the LPb. The present results show that, as in the lumbar enlargement, most lamina I projection neurons in C7 can also be labelled by injection of tracer into the LPb, since in all but one of the experiments, 97–100% of the cells labelled from PAG, CVLM or dorsal medulla were double-labelled. In one experiment (#2), the proportion was lower (85%), but in this case the most medial part of LPb was not included in the CTb injection site and it is likely that this resulted in a reduced number of labelled cells.

The new direction of the photon after reflection was determined w

The new direction of the photon after reflection was determined with respect to the normal to the surface at the point of intersection. selleck screening library A detailed description of the mathematical solution of this problem is given in Mayer et al. (2010). A technique called ‘Russian roulette’ was applied to a photon of weight < 0.5 to speed up computations (Iwabuchi 2006). The photon disappeared when its weight was less than a random number, otherwise its weight was set to 1. The radiance measured by a satellite instrument was simulated using the ‘local estimation’ technique (Marchuk et al., 1980 and Iwabuchi, 2006). The radiance

measured by a satellite is represented by the normalized radiance and given by the sum of all scattering events

i of photon j in the atmospheric column (k, l) within the domain, divided by the number of photons incident at the top of this column NTOA, and multiplied by π (adopted from Spada et al. 2006): equation(2) I=πNTOA∑j=1NTOA∑i=1NscajIi,j. The relative slope-parallel irradiance at the Earth’s surface Esrel was computed according to the following equation: equation(3) Esrel=EsETOA=ApAsNTOA∑j=1Nwj, where click here Es is the slope-parallel irradiance at the Earth’s surface in a pixel/column (k, l), ETOA is the solar irradiance at the TOA, NTOA is the number of photons incident at the top of the atmospheric column (k, l), As is the area of the Earth’s surface within Thiamet G the pixel/column (k, l), Ap is the area of the pixel (k, l), N is the number of photons reaching the Earth’s surface within the pixel/column (k, l), and wj is the weight of the j-th photon reaching the Earth’s surface within the pixel/column (k, l). For a horizontal surface, like a fjord, the open ocean or flat land surfaces, the slope-parallel

irradiance Es is the downward irradiance Ed and the relative slope-parallel irradiance is the atmospheric transmittance of the downward irradiance TE. The relative slope-parallel net-irradiance Enetrel was computed analogously to the relative slope-parallel irradiance except that only photons absorbed by the surface were counted, so N in equation (3) would mean the number of photons absorbed by the Earth’s surface within the pixel/column (k, l), and wj would be the weight of the j-th photon absorbed by the Earth’s surface within the pixel/column (k, l). Random numbers were generated with a KISS number generator (Marsaglia and Zaman, 1993 and Marsaglia, 1999; http://www.fortran.com/kiss.f90). We did the computations for selected MODIS channels: 3 (459–479 nm), 2 (841–876 nm), 5 (1230–1250 nm) and 6 (1628–1652 nm). In most cases the cloud layer was assumed to be 1000 m above sea level, which is higher than most mountains. The elevation of the highest peak in the area, Hornsundtind, is 1431 m. The cloud optical thickness in the simulations was typically set to 12.

7 g/d and 17 6 g/d for women and men (age, ≥19 years),

re

7 g/d and 17.6 g/d for women and men (age, ≥19 years),

respectively [11]. The top food sources of WG based on NHANES 2001 to 2002 data for all persons 2 years and older included ready-to-eat (RTE) cereals (28.7%), yeast breads (25.3%), hot cereal (13.7%), and popcorn (12.4%) [13]. However, the release of the 2005 Dietary Guidelines and accompanying media attention has increased consumer demand for WG foods [14] and resulted in greater AZD6244 WG food availability [15]. Results from a US national survey in 2012 [16] indicated that WG and fiber content were top considerations when buying packaged foods for 67% and 62% of consumers, respectively. Given the greater visibility of WG recommendations since 2005 and increased consumer demand, an updated assessment of WG sources, intake, and relationship to total dietary fiber is needed. The 2010 Dietary Guidelines for Americans recommended an increased intake of WG and total dietary fiber [8] based on low current intakes, reported associations with lower chronic

disease risk, risk indicators and overweight [1], [17], [18], [19] and [20], and higher overall selleck diet quality [9], [10] and [21]. Cooked dry beans and peas, other vegetables, fruit, and WG were recommended as food sources to meet total dietary fiber recommendations [8]. Previous studies have suggested that consumers associate WG foods with fiber and may be confused regarding the difference between WG and total dietary fiber [22], [23] and [24]. Clarification of the contribution that WG foods make to total dietary fiber based on the most recent dietary intake data

will allow educators to promote WG foods for the array of Adenosine triphosphate nutritional benefits that are provided, including total dietary fiber. The purpose of this study was to test the hypothesis that associations exist between WG intake and total dietary fiber intake of Americans 2 years and older. In addition, the contribution of various food sources to WG intake was identified. Specific research objectives were to (1) determine whether associations exist between WG intake group (no-WG intake, 0 oz eq; low, >0-<3 oz eq; high, ≥3 oz eq) and total dietary fiber intake among children and adolescents (age, 2-18 years) and adults (age, ≥19 years) by examining the odds of falling into a specific WG intake group by total dietary fiber intake tertile, (2) to determine if total dietary fiber intake from various food sources differs by WG intake, (3) to determine if the percentage of total dietary fiber contributed by types of RTE cereal varies by WG intake, and (4) to identify the contribution of different food sources to WG intake. Data from NHANES 2009 to 2010 were used for the present analysis [25]. The continuous NHANES is a cross-sectional survey that collects data about the nutrition and health status of the US population using a complex, multistage, probability sampling design [25].