Then, the original defect was split into halves and both smaller

Then, the original defect was split into halves and both smaller defects were closed with the pure-string suture.

RESULTS

All skin defects were closed completely, and there were no complication occurrences for the repair postoperatively. The final cosmetic appearance was excellent.

CONCLUSION

The double purse-string suture is a useful technique to achieve complete closure of the defect with a resulting excellent appearance.

The authors have indicated no significant interest with https://www.selleckchem.com/products/z-devd-fmk.html commercial supporters.”
“Hypogonadism in older men is a syndrome characterized by low serum testosterone levels and clinical symptoms often seen in hypogonadal men of younger age.

These symptoms include decreased libido, erectile dysfunction, decreased vitality, decreased muscle mass, increased adiposity, depressed mood, osteopenia, and osteoporosis. Hypogonadism is a common disorder in aging men with a significant percentage of men over 60 years of age having serum testosterone levels below the lower limits of young male adults. There are a variety of testosterone formulations available Ricolinostat for

treatment of hypogonadism. Data from many small studies indicate that testosterone therapy offers several potential benefits to older hypogonadal men. A large multicenter NIH supported double blind, placebo controlled study is ongoing, and this study should greatly enhance the information available on efficacy and side effects of treatment. While safety data is available across many age groups, there are still unresolved concerns associated with testosterone therapy. We have reviewed the diagnostic methods as well as benefits and risks of testosterone replacement therapy for hypogonadism in aging men.”
“Aspergillus fumigatus causes life-threatening infections in immunocompromised patients.

We have found that extracts of mycelial mats of A. fumigatus contain a potent hemagglutinin. To clarify the characteristics of this factor, the hemagglutinin was purified from late-stage cultures and characterized at the molecular level. The hemagglutinin is a 32-kilodalton protein that shows activity as an l-fucose lectin. The gene encoding this protein, AfufleA, was identified from a genomic AG-120 nmr DNA library utilizing consensus primers designed for amino acid sequences obtained from peptides following limited trypsin proteolysis. An open reading frame was found that consists of 942 nucleotides encoding 314 amino acids with a deduced molecular mass of 34,498 and contains all seven of trypsin-digested peptide sequences; four short introns, 49-63 bp, were also identified. AfufleA shares homology with a fucose-specific lectin produced by the orange peel mushroom, Aleuria aurantia. The role of AfufleA fucose-specific lectin is not clear, but this lectin may enhance attachment of fungal spores to mammalian cell membranes and contribute to the pathogenicity of A. fumigatus.”
“Background.

The resulting SGM1 0 Delta ptsG

The resulting SGM1.0 Delta ptsG Selleck GSK2399872A P(tac)galP and SGM1.0 Delta ptsG PLglk P(tac)galP strains were capable of rapid aerobic growth in a minimal medium containing 2.0 and 10.0 g/L of glucose and secreted only small amounts

of acetic acid and trace amounts of pyruvic acid..”
“Background: This pilot study explored factors associated with stress in medical students during their initial clinical contact with cancer patients, in particular identifying stress levels and coping strategies used.

Methods: A total of 80 medical students at The University of Birmingham Medical School, UK, completed retrospective self-report questionnaires measuring socio-demographics, potential stressors and coping strategies (using the Brief COPE inventory). Statistical analysis followed data collection.

Findings: Of all socio-demographic categories, female gender correlated with the highest stress score (p < 0.05). The most stressful situations reported related to the patient’s condition, the biopsychosocial effects of the cancer on the patient and his/her family, and breaking bad news. A combination of problem- and emotion-focussed

strategies were used to manage stress; and the extent of their usage was significantly related to individual stress levels (p < 0.01) in both instances.

Interpretation: selleck compound Medical students in an oncology setting experience

moderate stress and utilise a combination of problem- and emotion-focussed coping strategies to combat this stress. A greater use of both coping strategies was seen in students experiencing higher levels of stress. This may suggest a relative lack of effective coping skills. In light of this, the implementation of coping strategy training as a part of the medical course and/or support groups may be beneficial. Copyright (C) 2010 John Wiley & Sons, Pexidartinib Ltd.”
“The mechanisms of L-alanine overproduction by Brevibacterium flavum strain-producers were studied. It was shown that beta-Cl-L-alanine is an inhibitor of some key enzymes involved in the synthesis of L-alanine: alanine transaminase and valine-pyruvate transaminase. Two highly active B. flavum GL1 and GL18 strain-producers, which are resistant to the inhibitory effect of beta-Cl-L-alanine, were obtained using a parental B. flavum AA5 strain-producer, characterized by a reduced activity of alanine racemase (>= 98%). It was demonstrated that the increased L-alanine synthesis efficiency observed in the strain-producer developed in this work is associated with the absence of inhibition of alanine transaminase by the end product of the biosynthesis reaction, as well as with the effect of derepression of both alanine transaminase and valine-pyruvate transaminase synthesis by the studied compound.

Methods based on the measurement of dye fluorescence (obtaining <

Methods based on the measurement of dye fluorescence (obtaining selleck chemicals side population, SP) or fluorescence of the fluorophore conjugated with a monoclonal

antibody directed against the specific CSC marker are used for isolation. A different method obtains morphologically miscellaneous clones by single cell cloning: holo-, mero- and paraclones. Tumor forming assay in NOD/SCID mice is a standard in vivo test that confirms the stem character of isolated cells. However, this model may not fully reflect the complexity of cancer illnesses in human beings. Solving the mystery of oncogenesis, including the existence of cancer stem cells, is undoubtedly one of the priorities of contemporary medicine that should contribute to the improvement of cancer therapy.”
“Chorioamnionitis is an important problem in perinatology today, leading to brain injury and neurological handicaps. However, there are almost no data available regarding chorioamnionitis and a specific damage of the cerebellum. Therefore, this study aimed at determining if chorioamnionitis causes cerebellar morphological alterations. Chorioamnionitis was induced in sheep by the intra-amniotic injection of lipopolysaccharide (LPS) at a gestational age (GA) of 110 days. At a GA of 140 days, we assessed the mean total and layer-specific volume and the mean total granule cell

(GCs) and Purkinje cell (PC) number in the cerebelli buy Omipalisib of LPS-exposed and control animals using high-precision design-based stereology. Astrogliosis was assessed in the gray and white matter (WM) using a glial fibrillary acidic protein staining combined with gray value image analysis. The present study showed an unchanged volume of https://www.selleckchem.com/products/lazertinib-yh25448-gns-1480.html the total cerebellum as well as the molecular layer, outer and inner granular cell layers (OGL and IGL, respectively), and WM. Interestingly,

compared with controls, the LPS-exposed brains showed a statistically significant increase (+20.4%) in the mean total number of GCs, whereas the number of PCs did not show any difference between the two groups. In addition, LPS-exposed animals showed signs of astrogliosis specifically affecting the IGL. Intra-amniotic injection of LPS causes morphological changes in the cerebellum of fetal sheep still detectable at full-term birth. In this study, changes were restricted to the inner granule layer. These cerebellar changes might correspond to some of the motor or non-motor deficits seen in neonates from compromised pregnancies.”
“Introduction. Asthma guidelines use symptoms as the most important aspect of asthma control. Symptom perception varies widely between individuals. Over-perception as well as underperception of bronchoconstriction could have a negative effect on asthma management. We hypothesized that perception of bronchoconstriction in childhood asthma is not related to common measures of disease control.


“This research evaluated 7525DLPCL for soft flexible drug


“This research evaluated 7525DLPCL for soft flexible drug delivery systems.

The effect of ciprofloxacin hydrochloride (CIP) loading at three levels (10, 20, and 30%), on thermo-mechanical properties was studied. CIP release was monitored for 12 weeks. Addition of CIP to 7525DLPCL caused an increase in compressive modulus of 7525DLPCL. CIP release was found to be sigmoidal with two phenomena (apart from a minor burst) contributing to release-diffusion and later diffusion plus erosion. An increased burst was observed Etomoxir chemical structure with greater CIP loading and the majority of CIP (> 70%) was released as an effect of diffusion plus erosion. Additional factors, like the effect of CIP particle size, had no significant effect on drug release. Change in the implant shape from a cylinder (5 mm diameter; 3 mm thickness) to disc (6 mm diameter, 0.5 mm thickness) also failed to show ABT-737 price a significant impact on drug release. Erosion of 7525DLPCL is a major contributing factor towards this release and other factors like shape of implants and particle size of drug have little effect on CIP release. Such flexible drug delivery systems offer new avenues for long-term skeletal drug delivery of antibiotics for conditions like osteomyelitis

or periodontitis.”
“Statins inhibit cholesterol biosynthesis. Their main effect is a decrease in circulating levels of LDL cholesterol, which translates into a similar to 20% relative reduction of major vascular events and coronary mortality per mmol/L LDL reduction achieved. Statins are efficient in preventing first cardiovascular events, but the cost-efficiency of primary prevention remains controversial. In primary prevention particularly, the pros and cons of statin therapy should be weighted by considering patient-specific life circumstances and assessing the individual cardiovascular risk, as provided by risk calculators. Since diabetes mellitus poses a high risk even in the absence of known coronary artery disease, statin treatment is generally indicated in these patients. There is no lower

LDL threshold defining the limit of treatment benefit; rather, LDL target levels should be sought according to individual cardiovascular risk. BIBF 1120 mw If the necessary precautions are taken, e. g., by considering age, co-morbidities and co-medication when choosing the dose, statins are well tolerated and safe, as evidenced by many randomised controlled trials and meta-analyses. If a patient will not tolerate a statin dose necessary to achieve his or her LDL target level, ezetimibe may be added. There is no indication that statins alter cancer risk. Despite recent evidence that statin treatment is associated with a small risk of incident diabetes mellitus, this disadvantage is outweighed by the vascular benefits.

(C) 2011 Wiley Periodicals, Inc J Appl Polym Sci 123: 2090-2094,

(C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 123: 2090-2094, 2012″
“A functional Shaker potassium channel requires assembly of four alpha-subunits encoded by a single gene or various genes from the

Shaker family. In Arabidopsis thaliana, AtKC1, a Shaker alpha-subunit that is Microtubule Associat inhibitor silent when expressed alone, has been shown to regulate the activity of AKT1 by forming heteromeric AtKC1-AKT1 channels. Here, we investigated whether AtKC1 is a general regulator of channel activity. Co-expression in Xenopus oocytes of a dominant negative (pore-mutated) AtKC1 subunit with the inward Shaker channel subunits KAT1, KAT2 or AKT2, or the outward subunits SKOR or GORK, revealed that the three inward subunits functionally interact with AtKC1 while the outward ones cannot. Localization experiments in plant protoplasts showed that KAT2 was able to re-locate AtKC1 fused to GFP from endomembranes to the plasma membrane, indicating that heteromeric AtKC1-KAT2 channels are efficiently targeted to the plasma membrane. Functional properties of heteromeric channels involving AtKC1 and KAT1, KAT2

or AKT2 were analysed by voltage clamp after co-expression of the respective subunits in Xenopus oocytes. AtKC1 behaved as a regulatory VX-661 supplier subunit within the heterotetrameric channel, reducing the macroscopic conductance and negatively shifting the channel activation potential. Expression studies showed

that AtKC1 and its identified Shaker partners have overlapping expression patterns, supporting the hypothesis of a general regulation of inward channel activity by AtKC1 in planta. Lastly, AtKC1 disruption appeared to reduce plant biomass production, showing that AtKC1-mediated channel activity regulation is required for normal plant growth.”
“Acute renal failure (ARF) is common after cardiac surgery and more frequent after complex cardiac surgery. While the incidence of ARF is increasing after coronary artery bypass graft (CABG) surgery, trends in other forms of cardiac surgery remain unclear. We investigated the trend learn more of ARF in various cardiac procedures and compared patterns using CABG surgery as a reference group. The study population consisted of discharges from the Nationwide Inpatient Sample from 1988 to 2003, grouped according to surgery as: CABG, CABG with mitral valve, CABG with other valve, valve alone, and heart transplant. Standard diagnostic codes were used to identify ARF among discharges. Multivariable regression was used to determine trends in ARF among various procedures with CABG as a reference group. The incidence of ARF increased in all five groups (p < 0.001) over the 16-year period. The ARF incidence was highest in the heart transplant group (17%).

The last 2 years’ case reports in English were scrutinized for no

The last 2 years’ case reports in English were scrutinized for noninfectious association with the rheumatic diseases. Cross-referencing from MEDLINE was performed using several databases including Google scholar; British Medical Journal (BMJ) case reports were also queried separately.

Recent findings

Fifty-three articles comprising

56 case reports are included in the review, with 27 (48.2%) associated with the vasculitides, eight (14.3%) associated with lupus and 13 (23.2%) were associated with the myositis syndromes. The commonest four groups of drugs to potentially induce rheumatic diseases were anti-tumour necrosis factor (TNF) drugs, oncology drugs, propylthiouracil and interferons.

Summary

It is important to recognise that drugs used in other specialties may induce rheumatic disease and vigilance on making a diagnosis Adavosertib in vitro is the key.”
“Objective. Early detection and treatment of chronic kidney

disease (CKD) is important for slowing the progression of the disease and decreasing the associated risk of cardiovascular disease. This study examined how two creatinine-based and two cystatin C-based equations for calculating estimated glomerular filtration rate (eGFR) perform relative to each other in identifying CKD in a large cohort of community-dwelling individuals. Material and methods. A total of 1630 adults were recruited from the RG-7388 ic50 Reykjavik area. Each subject’s eGFR was calculated using the Modification of Diet in Renal Disease (MDRD) Study and Cockroft-Gault equations, and two cystatin C-based equations.

The prevalence of decreased eGFR obtained by the four equations was compared Selleck Fedratinib and the relative performance of the equations examined. Results. The MDRD equation labelled significantly fewer individuals as having CKD (5.3%) relative to the other equations (12.8-19.7%). Agreement between equations was limited, with up to one-third of subjects diagnosed as having CKD by the MDRD equation being classified as normal by other equations. Correlations between creatinine- and cystatin C-based equations varied with age, gender and diuretic use. Conclusions. The MDRD equation results in lower population-wide estimates of CKD relative to the other equations tested. An understanding of the performance of these equations is critical when they are used for estimating the prevalence of CKD in a population-wide setting or for diagnosing the disorder in clinical practice.”
“AimTo compare the effectiveness of the double cervical cerclage method versus the single method in women with recurrent second-trimester delivery.

MethodIn this randomized clinical trial, we included 33 singleton pregnancies suffering from recurrent second-trimester pregnancy loss (2 consecutive fetal loss during second-trimester or with a history of unsuccessful procedures utilizing the McDonald method), due to cervical incompetence.

StO(2) foot-mapping can be used to evaluate the real angiosome: t

StO(2) foot-mapping can be used to evaluate the real angiosome: the real distribution of the peripheral tissue perfusion in the CLI patient’s foot, which is determined by the peripheral microvascular blood flow, rather than the main arterial blood flow. (C) 2013 European Society for Vascular Surgery. Published by Elsevier Poziotinib molecular weight Ltd. All rights reserved.”
“BACKGROUND: Evaluation of the biodegradation interactions between styrene and acetone, two

typical paint solvents and vapor phase pollutants differing in water solubility and biodegradability, was conducted both in a trickle bed reactor (TBR) and a biofilter (BF). The loading rate experiments were performed by increasing the acetone concentration in the inlet air while keeping the styrene concentration and loading rate constant. RESULTS: At acetone loading rates (OLAC) between 25 and 35 gc m-3 h-1, the BF featured greater steady state performance characteristics for styrene degradation. At OLAC between 35 and 48 gc m-3 h-1, a decline of removal efficiency (RE) was observed for both pollutants, due to the system’s overloading with acetone. Increasing OLAC above 52-55 gc m-3 h-1 in both reactors resulted in drifts of RE and EC over time to much lower values. A step-drop of acetone loading rate back to OLAC of 3 gc m-3 h-1 (gc denotes grams of carbon) resulted in lag periods lasting Napabucasin solubility dmso for several hours. CONCLUSIONS: Two

important issues inherent A-1210477 inhibitor for acetone biofiltration, e.g., from paint booths or polystyrene production, were identified: (1) poor performance at high loadings of this aggressive solvent and (2) acetone back-stripping into the air following periods of high overloading. Copyright

(c) 2012 Society of Chemical Industry”
“Objective: In 2008, a new technique of reinforced aneurysmorrhaphy with a polyester mesh tube for salvaging true aneurysmal arteriovenous (AV) haemodialysis access was described by us. In this study, the long-term patency and complication rates associated with this procedure were analysed, and the effect of reinforced aneurysmorrhaphy on high-flow vascular access was assessed.

Methods: This was a retrospective non-randomised study with prospectively collected data performed at a single centre. Patients with true aneurysmal haemodialysis AV access who underwent aneurysmorrhaphy with external mesh prosthesis between March 2007 and October 2012 were included. Clinical assessment and duplex ultrasound were performed preoperatively, 1, 3, and 12 months postoperatively, and annually thereafter.

Results: Data from 62 patients (median age 60 years, range 28-81 years; 63% men) were analysed. The commonest indication was high-flow vascular access associated with the risk of high output cardiac failure (24 patients, 39%). The mean follow-up time was 14.66 +/- 12.80 months.

Thermal analysis found that the FR-treated

Thermal analysis found that the FR-treated www.selleckchem.com/products/Imatinib-Mesylate.html specimens without wet posttreatment showed two endothermic

peaks representing the phosphorylation of cellulose and acid-catalyzed dehydration. In addition, the treated fabrics showed some new characteristic peaks in their chemical structures; these were interpreted as carbonyl bands, CH(2) rocking bands, and CH(3) asymmetric and CH(2) symmetric stretching. The surface morphology of the FR-CL-PA-treated cotton specimens showed a roughened and wrinkled fabric surface with a high deposition of the finishing agent that had a lower breaking load and tearing strength, which resulted from the side effects of the CL used. However, the addition of a TiO(2) or nano-TiO(2) cocatalyst could compensate for the reduction in the tensile strength. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 121: 267-278, 2011″
“Objective. The aim of this study was to evaluate the influence of apical foramen widening on the healing of chronic periapical lesions in dogs’ teeth after root canal filling with Sealer 26 or Endomethasone.

Study design. NVP-BSK805 purchase Forty root canals

of dogs’ teeth were used. After pulp extirpation, the canals were exposed to the oral cavity for 180 days for induction of periapical lesions, and then instrumented up to a size 55 K-file at the apical cemental barrier. In 20 roots, the cemental canal was penetrated and widened up to a size 25 K-file; in the other 20 roots, the cemental canal was preserved (no apical foramen widening). All canals received a calcium hydroxide intracanal dressing for 21 days and were filled with gutta-percha and 1 of the 2 sealers: group 1: Sealer 26/apical foramen widening; group 2: Sealer

26/no apical foramen widening; group 3: Endomethasone/apical foramen widening; group 4: Endomethasone/no apical foramen widening. The animals were killed after 180 days, and serial histologic sections from the roots were prepared for histomorphologic analysis. Scores were assigned according to preestablished histomorphologic parameters and analyzed statistically by Kruskal-Wallis and Mann-Whitney U tests.

Results. Regarding new cementum formation, repair of cementum and bone resorption areas, presence of microorganisms, inflammatory cell GSI-IX in vitro infiltrate and periodontal ligament conditions, significantly better periapical healing was obtained when foramen widening was done and Sealer 26 was used.

Conclusion. Apical foramen widening and calcium hydroxide-containing sealer were more favorable to the healing of chronic periapical lesions. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:932-940)”
“We have isolated a recessive rice mutant, designated as indeterminate growth (ing), which displays creeping and apparent heterochronic phenotypes in the vegetative period with lanky and winding culms.

Here, we characterized

a transposon insertion (legwd::Ds)

Here, we characterized

a transposon insertion (legwd::Ds) in the tomato GWD (LeGWD) gene that caused male gametophytic lethality. The mutant pollen had a starch excess phenotype that was associated with a reduction SN-38 in pollen germination. SEM and TEM analyses indicated mild shrinking of the pollen grains and the accumulation of large starch granules inside the plastids. The level of soluble sugars was reduced by 1.8-fold in mutant pollen grains. Overall, the transmission of the mutant allele was only 0.4% in the male, whereas it was normal in the female. Additional mutant alleles, obtained through transposon excision, showed the same phenotypes as legwd::Ds. Moreover, pollen germination could be restored, and the starch excess phenotype could be abolished this website in lines expressing the potato GWD homolog (StGWD) under a pollen-specific promoter. In these lines, where fertility was restored, homozygous plants for legwd::Ds were isolated, and showed the starch excess phenotype in the leaves. Overall, our results demonstrate the importance of starch phosphorylation and breakdown for pollen germination, and open up the prospect for analyzing the role of starch metabolism in leaves and fruits.”
“Objective. To demonstrate the role of Wnt/beta-catenin canonical pathway in postmenopausal osteoporosis by evaluating serum beta-catenin

levels in patients with postmenopausal osteoporosis and analyzing their possible relationship with serum OPG, RANKL, the ratio of RANKL/OPG, ACY-738 price sclerostin, and bone turnover markers. Methods.

480 patients with postmenopausal osteoporosis and 170 healthy postmenopausal women were enrolled in the study. Serum beta-catenin, OPG, RANKL, and sclerostin levels were measured by enzyme-linked immunosorbent assay. Bone status was assessed by measuring bone mineral density and bone turnover markers. Estradiol levels were also detected. Results. Serum beta-catenin levels were lower in postmenopausal osteoporotic women compared to nonosteoporotic postmenopausal women (26.26 +/- 14.81 versus 39.33 +/- 5.47 pg/mL, P < 0.001). Serum beta-catenin was positively correlated with osteoprotegerin (r = 0.232, P < 0.001) and negatively correlated with the ratio of RANKL/OPG, body mass index, and sclerostin (r = -0.128, P = 0.005; r = -0.117, P = 0.010; r = -0.400, P < 0.001, resp.) in patients with postmenopausal osteoporosis. Conclusion. The results indicate that lower serum beta-catenin and concomitantly higher ratio of RANKL/OPG may be involved in the pathogenesis of postmenopausal osteoporosis. Functional communication between RANKL/RANK/OPG system and Wnt pathways plays an important role in postmenopausal osteoporosis.”
“We characterized two overlapping sugar beet (Beta vulgaris) bacterial artificial chromosome (BAC) clones representing different haplotypes. A total of 254 kbp of the genomic sequence was determined, of which the two BACs share 92 kbp.

Ultimately, we found that CPP-GMR devices with Gd(21 7)Fe(78 3) f

Ultimately, we found that CPP-GMR devices with Gd(21.7)Fe(78.3) free layers and Ag spacers

are good candidates for the light modulator applications, particularly advanced information display systems. (C) 2011 American Institute of Physics. [doi: 10.1063/1.3560882]“
“Galectin-3 is highly expressed in epithelial cells including keratinocytes and is involved in the pathogenesis of inflammatory skin diseases CHIR98014 nmr by affecting the functions of immune cells. For example, galectin-3 can contribute to atopic dermatitis (AD) by promoting polarization toward a Th2 immune response by regulating dendritic cell (DC) and T cell functions. In addition, galectin-3 may be involved in the development of contact hypersensitivity by regulating the migratory capacity of antigen presenting cells. Galectin-3 may act as a regulator of epithelial tumor progression and development through various signaling pathways, such as inhibiting keratinocyte apoptosis through regulation of the activation status of extracellular signal-regulated kinase (ERK) and activated protein kinase B (AKT). Galectin-3 is detected at different stages of melanoma development. In contrast, a

marked decrease in the expression of galectin-3 is observed in non-melanoma skin cancers, such as squamous cell carcinoma (SCC) and basal cell carcinoma (BCC). Galectin-3 may play an important role in tumor cell growth, apoptosis, cell motility, invasion, and metastasis. Dibutyryl-cAMP cell line Galectin-3 may be a novel therapeutic target for a variety of skin diseases. (C) 2011 Japanese Society for Investigative Dermatology. Published by Elsevier Ireland Ltd. All rights reserved.”
“Collective decision making and especially leadership in groups are among the most studied topics in natural, social, and political sciences. Previous studies have shown that some individuals https://www.selleckchem.com/products/ly333531.html are more likely to be leaders because of their social power or the

pertinent information they possess. One challenge for all group members, however, is to satisfy their needs. In many situations, we do not yet know how individuals within groups distribute leadership decisions between themselves in order to satisfy time-varying individual requirements. To gain insight into this problem, we build a dynamic model where group members have to satisfy different needs but are not aware of each other’s needs. Data about needs of animals come from real data observed in macaques. Several studies showed that a collective movement may be initiated by a single individual. This individual may be the dominant one, the oldest one, but also the one having the highest physiological needs. In our model, the individual with the lowest reserve initiates movements and decides for all its conspecifics. This simple rule leads to a viable decision-making system where all individuals may lead the group at one moment and thus suit their requirements.