05, paired t-test) Decrease in lesion progression was observed i

05, paired t-test). Decrease in lesion progression was observed in Groups A, B and C. Conclusions.  The 500 ppm NaF dentifrice demonstrated remineralization of

carious lesions by virtue of a significant decrease in lesion depth; whereas dentifrices that contained AmF, MFP and MFP with xylitol decelerated the Androgen Receptor antagonist progression of demineralization. “
“International Journal of Paediatric Dentistry 2012; 22: 154–156 Background.  Coffin–Lowry syndrome (CLS) is a rare genetic disorder. The syndrome presents with psychomotor retardation, short stature, skeletal deformations, digit abnormalities, and distinctive facial features. Oral and dental findings in CLS are common and they include thick prominent lips, high palate, midline lingual furrow, hypodontia, microdontia, delayed eruption, and early tooth loss. Only one earlier case suggesting hypoplastic root cementum as cause for primary loss of teeth in CLS has been published. Case Report.  This case describes a 3-year-old

boy with premature loss of primary incisors without preceding root resorption. In addition to the dental findings, the boy had several general signs and symptoms and the dental findings together with the other characteristics led to the clinical diagnosis of CLS, which later was genetically verified. Histological analysis of an extracted primary incisor showed hypoplastic root cementum. Conclusion.  Hypoplastic PCI-32765 ic50 root cementum may explain early tooth loss in CLS. As early loss of primary teeth is rare, especially when there is no previous root resorption, the individual is likely to seek dental care. Thus, the dentist may play an important role in assisting in the diagnosing of CLS. “
“International Journal of Paediatric Dentistry 2010; 20: 382–388 Aim.  The purpose of the current study was to assess whether an unsweetened ice-popsicle imparts a positive through feeling to children after dental treatment in which local anaesthesia

is administered, and whether it reduces the tendency of children to self-mutilate (bite the lip, cheek or tongue) after the administration of local anaesthesia. Design.  Crossover study of 31 children aged 4–11 years old who needed similar dental treatments on both sides of the mandible or maxilla under local anaesthesia. At the end of each appointment the child received a toy or an ice-popsicle especially made for this study. Patients and parents answered a questionnaire regarding the children’s behaviour and feeling immediately after the treatment, and 10 and 30 min after receiving the ice-popsicle or toy. Results.  Children who received ice-popsicles after dental treatment under local anaesthesia felt less discomfort and suffered less soft tissue trauma than they did when they received a toy. Reduction in soft tissue trauma was evident 10 min after receiving the ice-popsicles. Conclusion.  Licking of an ice-popsicle after dental treatment with local anaesthesia reduces the feeling of discomfort and the biting of soft tissue and self- mutilation.

The median duration of NRTI use was 77 (IQR 20–149) months, that

The median duration of NRTI use was 77 (IQR 20–149) months, that of NNRTI use was 17 (IQR 0–51) months, and that of PI use was 26 (IQR 0–75) months. Nineteen per cent of participants were currently receiving abacavir. Seventy-five participants (34%) had a positive CAC score and 17 (8%) had a CAC score of >100, indicating significant atherosclerotic disease (Fig. 1). Fatty liver disease on TSA HDAC order CT imaging was diagnosed in 29 HIV-infected persons (13%). The prevalence of fatty liver disease among those without CAC, those with a CAC score of 1–100, and those with a score >100 was 8, 18 and 41%, respectively (P=0.001). Of those with fatty liver disease, 59% (17

of 29) also had coronary atherosclerosis as determined by CAC>0, and these two conditions were significantly correlated (r=0.21, P=0.002). The prevalence of a positive www.selleckchem.com/products/obeticholic-acid.html CAC score among those 35–49 years of age in our cohort was 31% (36 of 116), with 6% having a CAC score of >100 (Fig. 1). Similar relationships between fatty liver disease and a positive CAC score were also noted in this age group. Regarding clinical symptoms, participants with a positive CAC score were not significantly more likely to report a history of chest pain or dyspnoea compared with those without CAC (21%vs. 17%, respectively; P=0.46). For HIV-infected persons with low (<10%), moderate (10–20%)

and high (>20%) FRSs, a positive CAC scan was noted in 27, 63 and 60% of patients, respectively (P<0.01) (Table 2). The median FRS for those with a positive

CAC was 8 (IQR 3–12), while those without CAC had a median 17-DMAG (Alvespimycin) HCl score of 3 (IQR 1–6) (P<0.01). Of note, the majority (64%) of those with a positive CAC score had a low FRS. We assessed the utility of the FRS for predicting positive CAC scores (it should be noted that the CAC test is a noninvasive test for detecting calcified coronary disease, and, unlike the gold standard diagnostic test, coronary catheterization, it may miss noncalcified plaque). The sensitivity, specificity, and positive and negative predictive value of the FRS in predicting a positive CAC score in HIV-infected persons were 36%, 89%, 63% and 73%, respectively. In the univariate analyses, HIV-infected persons with CAC compared with those without CAC were older (median 49 vs. 40 years old, respectively; OR 1.2; P<0.01), were more likely to be Caucasian (64%vs. 42%, respectively; OR 2.0; P=0.04), had a longer duration of tobacco use (median 18 vs. 10 years, respectively; OR 1.1 per year; P<0.01), were more likely to be receiving lipid-lowering medication (51%vs. 22%, respectively; OR 3.7; P<0.01) and were more likely to have diabetes (13%vs. 3%, respectively; OR 5.5; P<0.01), hypertension (49%vs. 20%, respectively; OR 4.0; P<0.01), the metabolic syndrome (35%vs. 16%, respectively; OR 2.8; P<0.

Supernatants (300 μL) were extracted twice with 600 μL of ethylac

Supernatants (300 μL) were extracted twice with 600 μL of ethylacetate; the resulting ethylacetate phases were pooled and evaporated to dryness. When needed, samples of the supernatant

were diluted with water. Dried extracts were solved in 100 μL of water, mixed with orcinol (1.6% w/v in water), 800 μL H2SO4 (60%) and heated to 80 °C for 30 min. The concentration of rhamnose was measured spectrophotometrically at a wavelength of 421 nm and compared with rhamnose reference standards. Bacterial cells were grown in LB medium for 18 h at 37 °C. Cell harvesting, protein isolation, two-dimensional gel electrophoresis and bioinformatic analysis were carried out Trichostatin A as described previously using large IPG strips (17 cm, pH 5–8) (Schreiber et al., 2006). Pseudomonas aeruginosa cells are motile rods with a single flagellum inserted at one pole of the cell. On semi-solid surfaces such as low concentrated agar (0.2–0.4% w/v) Selleck Tyrosine Kinase Inhibitor Library plates, cells swim through water-filled channels (Rashid & Kornberg, 2000) and this swimming motility is driven by the intact flagellum and requires various cellular functions. Compared with the wild type, swimming motility was absent in the lipC mutant, but could be restored by plasmid pBBLCH (Fig. 1). This type

of motility can be distinguished from swimming by the appearance of dendritic patterns in the bacterial growth that Carnitine dehydrogenase elongate and branch from a central colony. Swarming has been described for various Gram-negative pathogens, and like swimming, it requires flagellar function. As expected from the results of the swimming assays, the P. aeruginosa lipC mutant also failed to swarm (Fig. 1). Swarming motility was restored when the lipC mutant was complemented with plasmid pBBLCH providing functional LipC, although this complementation was not complete (Fig. 1). In contrast to the swimming defect observed for the lipC mutant, no significant residual swarming motility was detected. On solid surfaces,

P. aeruginosa is capable of twitching motility, a mode of translocation dependent on type IV pili (Mattick, 2002). Cells that are stabbed to the plastic bottom of an agar-filled Petri dish start colony expansion on the interstitial surface between the agar layer and the Petri dish, which is visible as a faint turbid zone. Compared with twitching wild-type cells, the spatial extension of this twitching zone was sharply reduced for the lipC mutant (Fig. 1). However, when compared with a pilus-deficient pilD mutant, the twitching defect of the lipC mutant was less drastic (data not shown). The motility defects of the lipC mutant could all be restored by the expression of functional LipC from plasmid pBBLCH excluding the polar effects of this mutation. Therefore, we conclude that all three forms of motility require functional LipC in P. aeruginosa. Examination of the P.

, 1994) About 30% of the isolates in this study have a potential

, 1994). About 30% of the isolates in this study have a potential to withstand −1.2 MPa osmotic pressures. Mohammad et al. (1991) reported that R. meliloti isolates were able to grow at up to −1.0 MPa osmotic stresses. Salinity (Shetta, 2002) and pH (Munns, 1986) are also major limiting factors restricting symbiotic nitrogen fixation. Salt stress or salinity significantly reduces nitrogen fixation and nodulation in legumes. In the present Protease Inhibitor Library cell assay study, most of the isolates persisted under salt concentrations of 0.5%, and only four isolates showed tolerance to 3.0% (815 mM) NaCl. Hence, these isolates may be candidates for application in salinity-affected

soils. The results coincide with the findings of Lal & Khanna (1995), who reported rhizobial isolates from woody legume showing tolerance to 500–800 mM NaCl. The adaptation to high salinity could be attributed to the accumulation of low-molecular-weight organic solutes called osmolytes (Csonka & Hanson, 1991) that prevent the cell lysis. Similarly, slight variation in

pH of the medium might have significant effects on the growth of bacteria (Singh et al., 2008). The results indicated that most of the isolates grew at pH of 6.5, 7.0, and 8.0, but only 11 isolates grew at acidic pH 4.0 and nine isolates grew at alkaline pH 10.0 (Table 1). These findings are in agreement with Shetta et al. (2011) on AZD6244 research buy Rhizobium associated with woody legumes trees grown in Saudi Arabia. However, there is no significant correlation between the origin of isolate and its ability to tolerate extreme pH values (data not shown). It was observed that fast-growing strains were generally more tolerant to high NaCl concentrations than slow-growing rhizobia as reported by Odee et al. (1997). Similarly, fast growers were more tolerant to high temperature, drought and pH. Strains with these traits give a way to develop abiotic stress-tolerant bio-inoculants for M. pinnata for improved tree growth. aminophylline Results obtained from UPGMA

analysis of phenotypic features showed that the isolates formed into five clusters at the boundary level of 0.82 average distances. These clusters showed no relatedness to each other and the diversity also applied to isolates from the same genera (Bradyrhizobium) that had different phenotypic traits. Diversity occurring in one site could be explained by soil microsites having distinct aeration, nutrient availability, moisture content, and competition (Postgate, 1982), which may induce different strain adaptations. No relationship was found between clustering patterns on the phenogram and the geographical origin of the isolate. Our data demonstrated a high phenotypic diversity of rhizobia associated with M. pinnata, which has also been found among the rhizobia nodulating leguminous trees (Dreyfus et al., 1988; Zhang et al., 1991; Batzli et al., 1992). Various phenotypic and genotypic methodologies have been used to identify and characterize bacteria (Vincent, 1970; Obaton et al., 2002).

The phylogenetic potential of the 23S ribosomal RNA marker has pr

The phylogenetic potential of the 23S ribosomal RNA marker has previously been exploited for Legionella and Coxiella (Afseth et al., 1995; Grattard et al., 2006), but has not yet been explored for Rickettsiella bacteria. Moreover, in attempts to go beyond ribosomal phylogenies,

several protein-encoding genes have been investigated as possible phylogenetic markers within the Coxiellaceae (Sekeyová et al., 1999; Leclerque & Kleespies, 2008a, b; Mediannikov et al., 2010), but often with rather limited success. The systematic taxonomic analysis of the first Rickettsiella genome sequence (Leclerque, 2008a) has revealed a set of protein-encoding markers that operate reasonably well above the genus

level; however, the suitability of these markers for generic and infra-generic taxonomic assignments has not been studied ATM/ATR assay previously. Independently, the ftsY gene, which encodes the bacterial homolog of the eukaryotic signal BTK inhibitor recognition particle receptor subunit alpha involved in protein translocation and has previously been identified as the most appropriate single gene marker for the estimation of the G+C content in prokaryotic genomes (Fournier et al., 2006), has recently been introduced as a phylogenetic marker for the characterization of Rickettsiella-like bacteria (Mediannikov et al., 2010; Kleespies et al., 2011). In the study presented here, a partial sequence of the 23S rRNA-encoding gene, an MLST marker set consisting

of six protein-encoding genes selected on the basis of previous data-mining of the R. grylli genome, and the ftsY gene together with the virtually complete 16S rRNA-encoding sequence as a reference were compared for their phylogenetic potential with respect to the generic and infra-generic classification of Rickettsiella bacteria. For this purpose, the orthologous sequences from the R. popilliae-synonymized pathotypes ‘R. melolonthae’ and ‘R. tipulae’ were determined and analyzed together Baf-A1 order with the corresponding R. grylli sequences by a methodological approach combining phylogenetic reconstruction with likelihood-based significance testing. Genomic DNA of Rickettsiella strains BBA1806 (pathotype ‘R. melolonthae’) and BBA296 (pathotype ‘R. tipulae’) was extracted by a standard protocol (Walsh et al., 1991) based on the Chelex 100 resin (Bio-Rad) from, respectively, infected fat body tissue of diseased Melolontha grubs collected in the Lorsch area, Germany, and L3–L4 larvae of the crane fly, T. paludosa, collected near Burscheid, Germany.

shilonii is constituted by components encoded in at least three d

shilonii is constituted by components encoded in at least three distinct genomic regions. Finally, the isolated HBB complexes were analyzed under the electron microscope to determine the basic structure of the HBB. A model representing the HBB of V. screening assay shilonii is proposed in Fig. 4c. The dimensions of the

V. shilonii HBB are similar to those reported previously for Vibrio alginolyticus (Terashima et al., 2006), except for the clear presence of an apparently wider LP-ring. We thank Sebastian Poggio, Clelia Domenzain and Diego Gonzalez-Halphen for critically reading the manuscript and for helpful suggestions, and we also thank Teresa Ballado, Aurora Osorio and Javier de la Mora for technical assistance as well as the Microscopy Unit of the Instituto de Fisiología Celular for assistance with the electron micrographs. M.-H.G. thanks Alfredo Wydler from Waters

(Mexico) for providing the nano-UPLC for this work. This work was partially supported by grants from Dirección General de Asuntos del Personal Académico (DGAPA)/Universidad Nacional Autónoma de México (IN213408) and SEP/CONACyT (106081). Y.G. was supported by a fellowship from SEP/CONACyT (Mexico). Y.G. and D.V. contributed equally to this work. “
“RNA maturation is a key event regulating genes at post-transcriptional level. In bacteria, it is employed to adjust http://www.selleckchem.com/products/PLX-4032.html the amounts of proteins and functional RNAs, often in response to environmental constraints. During the process of RNA maturation, enzymes and factors that would otherwise promote RNA degradation convert a labile RNA into a stable and biologically functional molecule. “
“Department of Medical Protein Research, VIB and Department of Biochemistry, Ghent University, Gent, Belgium Department of Plant Pathology, University of Florida, Gainesville, FL, USA Institute of Plant Biotechnology Outreach, Ghent University, Gent, GNE-0877 Belgium The Actinomycete Rhodococcus fascians causes the leafy gall syndrome, an infectious plant disease that affects a wide range of plants, primarily dicotyledonous herbs. The syndrome is associated with delayed senescence,

loss of apical dominance, activation of dormant axillary meristems, and formation of multiple inflorescences, leading to a stunted and bushy plant appearance. A major breakthrough in the elucidation of the virulence strategy of this pathogen was the discovery of a linear virulence plasmid, pFiD188 for R. fascians strain D188. Upon perception of a compatible host plant, an autoregulatory mechanism mediated by the att operon directs a switch in the bacterial life style from a harmless epiphyte into a pathogenic endophyte and, concomitantly, activates gene expression of the fas operon that encodes a cytokinin biosynthesis pathway. A mixture of five cytokinins determines the cytokinin activity of R. fascians that directly affects plant responses and development.

shilonii is constituted by components encoded in at least three d

shilonii is constituted by components encoded in at least three distinct genomic regions. Finally, the isolated HBB complexes were analyzed under the electron microscope to determine the basic structure of the HBB. A model representing the HBB of V. Sunitinib concentration shilonii is proposed in Fig. 4c. The dimensions of the

V. shilonii HBB are similar to those reported previously for Vibrio alginolyticus (Terashima et al., 2006), except for the clear presence of an apparently wider LP-ring. We thank Sebastian Poggio, Clelia Domenzain and Diego Gonzalez-Halphen for critically reading the manuscript and for helpful suggestions, and we also thank Teresa Ballado, Aurora Osorio and Javier de la Mora for technical assistance as well as the Microscopy Unit of the Instituto de Fisiología Celular for assistance with the electron micrographs. M.-H.G. thanks Alfredo Wydler from Waters

(Mexico) for providing the nano-UPLC for this work. This work was partially supported by grants from Dirección General de Asuntos del Personal Académico (DGAPA)/Universidad Nacional Autónoma de México (IN213408) and SEP/CONACyT (106081). Y.G. was supported by a fellowship from SEP/CONACyT (Mexico). Y.G. and D.V. contributed equally to this work. “
“RNA maturation is a key event regulating genes at post-transcriptional level. In bacteria, it is employed to adjust Obeticholic Acid datasheet the amounts of proteins and functional RNAs, often in response to environmental constraints. During the process of RNA maturation, enzymes and factors that would otherwise promote RNA degradation convert a labile RNA into a stable and biologically functional molecule. “
“Department of Medical Protein Research, VIB and Department of Biochemistry, Ghent University, Gent, Belgium Department of Plant Pathology, University of Florida, Gainesville, FL, USA Institute of Plant Biotechnology Outreach, Ghent University, Gent, Vasopressin Receptor Belgium The Actinomycete Rhodococcus fascians causes the leafy gall syndrome, an infectious plant disease that affects a wide range of plants, primarily dicotyledonous herbs. The syndrome is associated with delayed senescence,

loss of apical dominance, activation of dormant axillary meristems, and formation of multiple inflorescences, leading to a stunted and bushy plant appearance. A major breakthrough in the elucidation of the virulence strategy of this pathogen was the discovery of a linear virulence plasmid, pFiD188 for R. fascians strain D188. Upon perception of a compatible host plant, an autoregulatory mechanism mediated by the att operon directs a switch in the bacterial life style from a harmless epiphyte into a pathogenic endophyte and, concomitantly, activates gene expression of the fas operon that encodes a cytokinin biosynthesis pathway. A mixture of five cytokinins determines the cytokinin activity of R. fascians that directly affects plant responses and development.

In 2011, the survey covered about 400 000 births, and estimated H

In 2011, the survey covered about 400 000 births, and estimated HIV prevalence was 2.2 per 1000 women giving birth. Prevalence in London was 4 per 1000 in 2002, peaked at 4.5 per 1000 in 2003, and has declined a little since then to 3.5 per 1000 in 2011. In the rest of England prevalence was about 0.7 per 1000 in 2002, rising to 1.5 per 1000 by 2006, and reaching 1.6 per 1000 in 2011. In Scotland prevalence increased from about one in 2150 in 2000 to one in 1150 in 2008 [1, 2]. The majority of HIV-positive pregnant women are from sub-Saharan Africa with overall prevalence relatively

stable over the last 10 years at 2–3%, although sub-Saharan African women giving birth in London had a lower seroprevalence (1.8%) than those giving birth elsewhere in England (3.2%). Although prevalence PD-166866 mouse among UK-born women giving birth remained low at about 0.5 per 1000 women in 2011, there was a gradual increase over the decade from 0.3 per 1000 in 2002 [2]. In the UK, the rate of HIV MTCT from diagnosed women was 25.6% in 1993

at which time interventions were virtually non-existent [3]. Between 2000 and 2006, with high uptake of interventions, the overall transmission rate from diagnosed women was 1.2%, and less than 1% among women who had received at least 14 days of ART. Among more than 2000 women who had received cART and delivered with an undetectable viral load, there were only three transmissions, an MTCT rate of 0.1% [4]. These very low transmission rates persist, and were even lower in 2007–2011 at an estimated 0.57% [5]. A small 4��8C proportion of HIV-positive women remain undiagnosed at delivery in the UK, which probably ICG-001 mw means that in recent years up to 2% of all HIV-exposed infants (born to diagnosed and undiagnosed women) have acquired HIV perinatally [1]. By 2010 over 98% of all diagnosed women received some form of ART prior

to delivery: the proportion of those who were taking zidovudine monotherapy dropped from around 20% in 2002–2003 to only about 2% since 2009. Meanwhile, the proportion of women delivering by elective Caesarean section (CS) declined from about two-thirds to around one-third, while vaginal deliveries increased from less than 15% of all deliveries to over 40%. Although planned vaginal delivery is now common for women who are on cART with undetectable viral load close to delivery, the increase in planned vaginal deliveries may have contributed to a rise in reported emergency CS, from around 20% to about 25% [6] Between 2005 and 2011 between 1100 and 1300 children were born each year in the UK to diagnosed HIV-positive women. Since virtually all diagnosed women in the last decade have taken ART to reduce the risk of MTCT, almost all of these children are uninfected. However, this means there were, in 2012, over 12 000 HIV-exposed uninfected children in the UK whose mothers conceived on cART, or started ART during pregnancy [6, 7].

As surgeons have just started to report their experiences as prof

As surgeons have just started to report their experiences as proficient robotic surgeons compared to all of the ‘initial check details experience with robot’ papers, the operative times numbers are going to be dramatically different and of course that is going to affect the cost. Based on insurance reimbursement, costs cannot be correlated to charges. Certainly, it would be more effective if ultimate costs were analyzed; however, it is extremely difficult to analyze direct and indirect costs. For this reason, one could argue that a cost-effectiveness model, including a specific cut-off point at which volume justifies investment and docking speed leads

to equivalent costs with laparoscopy, could offer more information in the hospital systems across the world. From our literature search, robotic procedures cost more than laparoscopic and open procedures; however, it seems that when the initial cost for robotic acquisition is ignored, then robotic procedures are the Ibrutinib research buy most cost-effective approach. It has already been shown that the cost-effectiveness could be explained by three different models: the societal perspective model,

the hospital perspective plus robot costs and the model with exclusion of robotic acquisition cost.[41] In general, we conclude that the cost of robotic procedures could be lowered by counting the lost wages and the caregiver costs, as well as by decreasing the cost of disposable equipment, operating room supplies, docking time, theatre time and recovery time. However, due to the heterogeneity of the studies and the lack of all the above information in several studies, safe conclusions could Y-27632 clinical trial not be reported in our opinion by cost-effectiveness models that include studies from the initial phase of robotic use in gynecology, as well as newer studies, including operations

performed by most well-trained surgical teams. Furthermore, there are not yet studies that present long-term outcomes in order to have a real cost-effective analysis, including quality-adjusted life-years gained. In addition, in the retrieved studies, there is no clarification between the clinical outcomes among experienced surgeons and trainees. Costs of readmission are difficult to assess and insert into our analysis. Last but not least, the cost is different in diverse types of operations as well as the cost of surgical time, while in order to maintain uniformity in the charges due to different currencies, all costs were converted into Euros. As far as our search strategy, which was previously defined, it could be considered limited due to the exclusion of abstracts, reviews, short surveys, commentaries and editorials. The application of robotics in the field of gynecologic surgery is an innovation that has had an important impact on the surgical treatment of several pathologies.

As surgeons have just started to report their experiences as prof

As surgeons have just started to report their experiences as proficient robotic surgeons compared to all of the ‘initial Y 27632 experience with robot’ papers, the operative times numbers are going to be dramatically different and of course that is going to affect the cost. Based on insurance reimbursement, costs cannot be correlated to charges. Certainly, it would be more effective if ultimate costs were analyzed; however, it is extremely difficult to analyze direct and indirect costs. For this reason, one could argue that a cost-effectiveness model, including a specific cut-off point at which volume justifies investment and docking speed leads

to equivalent costs with laparoscopy, could offer more information in the hospital systems across the world. From our literature search, robotic procedures cost more than laparoscopic and open procedures; however, it seems that when the initial cost for robotic acquisition is ignored, then robotic procedures are the Olaparib in vitro most cost-effective approach. It has already been shown that the cost-effectiveness could be explained by three different models: the societal perspective model,

the hospital perspective plus robot costs and the model with exclusion of robotic acquisition cost.[41] In general, we conclude that the cost of robotic procedures could be lowered by counting the lost wages and the caregiver costs, as well as by decreasing the cost of disposable equipment, operating room supplies, docking time, theatre time and recovery time. However, due to the heterogeneity of the studies and the lack of all the above information in several studies, safe conclusions could 6-phosphogluconolactonase not be reported in our opinion by cost-effectiveness models that include studies from the initial phase of robotic use in gynecology, as well as newer studies, including operations

performed by most well-trained surgical teams. Furthermore, there are not yet studies that present long-term outcomes in order to have a real cost-effective analysis, including quality-adjusted life-years gained. In addition, in the retrieved studies, there is no clarification between the clinical outcomes among experienced surgeons and trainees. Costs of readmission are difficult to assess and insert into our analysis. Last but not least, the cost is different in diverse types of operations as well as the cost of surgical time, while in order to maintain uniformity in the charges due to different currencies, all costs were converted into Euros. As far as our search strategy, which was previously defined, it could be considered limited due to the exclusion of abstracts, reviews, short surveys, commentaries and editorials. The application of robotics in the field of gynecologic surgery is an innovation that has had an important impact on the surgical treatment of several pathologies.