LpYhhN doesn’t have action about diradyl plasmalogen, 1-alkenyl-glycerol, along with monoacylglycerophospho-ethanolamine as well as monoacylglycerophospho-choline; the ph ideal will be Six.5-7.0. These kind of components are extremely comparable to mammalian TMEM86B. String analysis suggests that YhhN protein contain ten transmembrane helices, a great N-in/C-in topology, and about 5 extremely conserved protein elements that could variety an energetic internet site. This work could be the first to signify the purpose Apoptosis Compound Library chemical structure for a bacterial YhhN proteins, like a plastic ether connect hydrolase specific with regard to lysoplasmalogen. Because M. pneumophila won’t incorporate endogenous plasmalogens, all of us hypothesize which LpYhhN may serve to guard the particular micro-organism from lysis by lysoplasmalogen derived from plasmalogens of the host. Created by Elsevier N.V.Inch”Our purpose ended up being evaluate the effectiveness of off-label using sunitinib within people together with superior differentiated hypothyroid carcinoma (DTC) refractory in order to radioactive iodine (RAI) therapy. Many of us performed the retrospective analysis of people dealt with within the establishing involving medical apply inside a University or college General Medical center. Eleven consecutive people (Five women, Half a dozen males, suggest age group Sixty three.3 +/- 12.9 yr) together with innovative papillary (d Is equal to Seven) as well as follicular (d Equates to Some) thyroid carcinoma not good with regard to healing surgical procedures or RAI treatment had been studied. A pair of patients have been treated with one particular type of tyrosine kinase inhibitors prior to sunitinib treatment. All sufferers experienced evidence aim intensifying disease (PD). We all evaluated the aim reply fee (ORR) as well as alterations in thyroglobulin levels through treatment. Comprehensive response had been achieved within 1 patient (Nine percent) as well as incomplete reaction (Page rank) by 50 % people (Eighteen percent). A few people (Forty five percent) had stable illness (SD). For that reason, ORR ended up being 27 Percent and ailment control price ended up being 72 %. We learned that the actual decrement inside thyroglobulin concentrations of mit has been substantially greater within individuals with radiological illness manage in comparison to sufferers together with PD. Most popular grade One and 2 negative activities have been low energy, mucositis, hand-and-foot symptoms, hyporexia, break outs, blood pressure, and swelling. Inside program CX-6258 price clinical apply, sunitinib appears to be effective and also achievable inside individuals along with innovative RAI-refractory DTC. Most sufferers attained SD or perhaps Public realtions, despite the presence of PD at the start of remedy, and safety report was in keeping with that will reported over the clinical trials.Inches”Objectives: During the last decade, there has been a fast increase in the number of seniors patients called pertaining to cardiovascular medical procedures. Recent studies possess determined risks with regard to extended extensive proper care system (ICU) stay in cardiovascular surgical treatment sufferers. The actual aims on this review ended up being to consider pre-operative risks for ICU stay beyond SCH727965 purchase 3 days in the heart failure surgery elderly populace, and regardless of whether continuous ICU remain is going to influence impairment, well-designed recovery along with length of therapy.}
Monthly Archives: April 2022
All of us record the very first case of utilisation involving met
Many of us statement the very first case of utilisation regarding methylene (Megabytes) in a affected person with serious selleckchem right ventricular failing and also vasoplegic surprise following medical lung embolectomy. (Center, Lung and also Flow 2011;30:234-236) (C) The year 2010 Australasian Modern society involving Cardiovascular and Thoracic Physicians and also the Cardiovascular Society involving New zealand and australia. Published by Elsevier Corporation. All protection under the law earmarked.Inches”Introduction The target ended up being look into regardless of whether any familial temperament in order to being overweight connected heart issues was from the degree of unhealthy weight in base line and/or changes in just how much being overweight after a multidisciplinary childhood obesity premature ejaculation pills. Approaches The analysis incorporated 1421 fat children (634 kids) using a average ages of Eleven.Several years (range Three or more.1-17.20 years), participating in answer to 3.’04 in order to 5.Ninety many years (average A single.36 months) with the Kid’s Weight problems Center, Denmark. With base line, weight and height had been tested, body mass index (Body mass index) regular deviation credit score (SDS) calculated, and self-reported information on familial frame of mind to be able to unhealthy weight, high blood pressure, diabetes type 2 symptoms mellitus (T2DM), thromboembolic activities, along with dyslipidaemia were Fludarabine JAK/STAT inhibitor obtained. A new family frame of mind integrated events throughout neurological mother and father, littermates, grandfather and grandmother, uncles, and aunts. Treatments outcomes ended up unconditionally analysed in line with the incidence of genetic predispositions. Results Your mean BMI SDS in enrolment was Three or more.Two in guys and 2.8-10 within women. One-thousand-and-forty-one youngsters got obesity inside their loved ones, 773 acquired blood pressure, 551 got T2DM, 568 experienced thromboembolic occasions, and 583 acquired dyslipidaemia. Completely, 733 got a variety of predispositions. At standard, family T2DM had been of a larger indicate BMI SDS (r Is equal to 3.Goal), however absolutely no associations put together between the various other predispositions as well as the children’s amount of being overweight. During therapy, ladies along with familial weight problems missing more importance, when compared with ladies with no family unhealthy weight (g Is equal to 0.Apr). No other family predispositions had been connected with alterations in Body mass index SDS throughout remedy. Bottom line Over weight kids a family temperament to be able to T2DM revealed an extremely higher a higher level unhealthy weight from base line business women with genetic weight problems replied easier to therapy. Apart from these findings, not one other organizations selleck screening library put together between your event regarding family predispositions and also the amount of unhealthy weight or even alterations within in the course of multidisciplinary weight problems in children remedy.Inches”Background: Yeast prosthetic endocarditis (CPE) is surely an rare illness concerning less than 1 % regarding infective endocarditis people and connected with high repeat rate. Immunosuppresion, 4 drug use, heart surgical treatment as well as indwelling overseas our body is the major risks pertaining to CPE. There are few reported installments of CPE in which many medical procedures was done there features generally been recently minimal follow up on these types of cases.}
A new
A Pevonedistat overdue appointment of a doctor or a prolonged elapse of energy right up until a crisis get in touch with was developed within the gentle of serious accidental injuries of the youngster are usually remarkably suspect, too. This is especially valid for modifying variants from the caregivers of precisely how a major accident came about. Finally, watchful documents of most results is crucial for the later on examination from the analysis below areas of new instances along with connection between authorities deliberate or not later on the courtroom procedures.Inch”Background: Following college, health professional selleckchem doctor college students are required to become effective at offering complex, evidence-based medical proper care independently, along with standardised health care. The kids who follow work-study programs selleck have to build their particular skills inside a health-related surroundings covered with efficiency policies. Target: This research aspires to discover nurse doctor kids’ awareness with their skilled responsibility with regard to affected individual care. Strategy: This kind of qualitative interpretative study involves any content examination of Forty-six indicative situation reports written by health care worker specialist students. Conclusions: The students sensed accountable for the actual overseeing involving patients’ health position, taking care of psychosocial difficulties, concentrating on submission, as well as perfecting the family’s function since everyday health care providers. At the same time, college students battled to know the complexities with their patients’ needs, and they had limited success making use of his or her knowledge and skills in order to complicated medical, emotional, and cultural difficulties. Conclusion: The actual kids’ perceptions of the fresh obligation were seen as a a robust target healing attention, even though psychosocial aspects of wellness sickness considerations were usually overlooked. The scholars skilled troubles within assembly the factors regarding superior apply nursing jobs described inside the Nederlander expertise composition. (D) 2015 Elsevier Ltd. Most protection under the law set aside.Inches”Background along with Objective: Calcium supplements funnel antagonists (calcium supplement funnel blockers [CCBs]) in many cases are utilized in the treatment of individuals along with blood pressure to attain rigid blood pressure levels (British petroleum) focuses on. In our review, all of us when compared your antihypertensive outcomes (based on residence British petroleum [HBP] dimensions) as well as the consequences upon renal function of benidipine (hydrochloride) and amlodipine (mesylate), any frequently used CCB.\n\nMethods: Changes in HBP and also urinary albumin removal (UAE) were looked into inside Forty seven benidipine as well as Thirty seven amlodipine individuals together with essential high blood pressure levels along with albuminuria between Present cards 2007 and also 12 , 3 years ago.\n\nResults: The two benidipine and amlodipine substantially decreased day and nighttime HBP over the 12-month period.}
In “Introduction: The actual Quick Sign Inventory (BSI), Disposi
“”Introduction: The actual Quick Sign Products (BSI), Feelings & Stress and anxiety Indication Customer survey -30 (MASQ-D30), Quick Variety Wellbeing Study buy Go 6983 Thirty five (SF-36), along with Dimensional Review involving Persona Pathology-Short Form (DAPP-SF) are generally universal devices that can be used throughout Routine Result Keeping track of (ROM) associated with people using frequent emotional disorders. All of us directed to generate guide values typically PLX-4720 cell line stumbled upon in ‘healthy’ along with ‘psychiatrically ill’ people for you to facilitate correct decryption of ROM final results.\n\nMethods: All of us integrated the following specific research communities: 1294 subject matter from the basic populace (Range of motion reference team) enrolled by way of basic professionals, and 5269 psychiatric outpatients diagnosed with feeling, stress and anxiety, as well as somatoform (MAS) ailments (Range of motion patient class). The outermost 5% of observations were utilized to outline limitations with regard to one-sided reference times (95th percentiles with regard to BSI, MASQ-D30 and DAPP-SF, as well as 6th percentiles with regard to SF-36 subscales). Inner consistency along with Recipient Running Traits (ROC) analyses ended up performed.\n\nResults: Indicate age for your ROM reference group had been Forty.Several years (SD=12.Six) and also Thirty-seven.Seven years (SD=12.0) for the ROM affected individual class. Your proportion of females has been 58.8% as well as Sixty-four.6%, respectively. Your suggest with regard to cut-off beliefs regarding wholesome men and women had been 0.82 to the BSI subscales, 23 for the 3 MASQ-D30 subscales, Forty-five for your SF-36 subscales, and three.One particular for the DAPP-SF subscales. Discriminative power of the particular BSI, MASQ-D30 as well as SF-36 had been very good, however it had been inadequate to the DAPP-SF. For those equipment, the internal consistency with the subscales ranged via satisfactory to outstanding.\n\nDiscussion and summary: Reference point ideals for your medical model have been provided for the particular BSI, MASQ-D30, SF-36, and DAPP-SF. Specialized medical data aided by ROM info may stand for the best means MEK162 in order to look at the specialized medical condition of psychological outpatients.In .”Objectives: There is a restored interest in well being technique signs. Throughout ’76 a stride associated with top quality of health care, responsive fatality, ended up being designed by Rutstein. This kind of indicator is dependant on the notion that deaths coming from specific causes must not happen in the presence of appropriate and efficient medical. Within the task “Amenable fatality rate in the Eu: to better signs for that performance of well being systems” (AMIEHS), many of us bring in a new procedure for the selection of signs of amenable mortality.\n\nMethods: According to defined variety criteria and a wide writeup on the particular books around the success of healthcare treatments, an initial list of probable signs involving agreeable fatality (reasons behind demise) had been decided on. Your timing in the release involving medical enhancements was established via reviews along with questionnaires provided for country wide experts through more effective collaborating The european union.}
Subjects were followed on average for 5 years using the Longitudi
Subjects were followed on average for 5 years using the Longitudinal Interval Follow-Up Evaluation. We examined factors associated with the persistence (>50% of the follow-up time) and onset of new anxiety disorders in youth with bipolar disorder.\n\nResults: Of the 170 youth who had anxiety at intake, 80.6% had an anxiety disorder at any time during the follow-up. Most of the anxiety disorders during the follow-up were of the same type as those present at intake. About 50% of the youth had persistent anxiety, particularly generalized
anxiety disorder (GAD). Persistence was associated with multiple anxiety disorders, less follow-up time in euthymia, less conduct disorder, and less R788 datasheet treatment with antimanic and antidepressant medications (all P values <= .05). Twenty-five percent of the sample who did not have an anxiety disorder at intake developed new anxiety disorders during follow-up, most commonly GAD. The onset of new anxiety disorders was significantly associated with being female, lower socioeconomic status, presence of attention-deficit/hyperactivity disorder and substance use disorder, and more follow-up time with manic or hypomanic symptoms (all P values <= .05)\n\nConclusions: Anxiety
disorders in youth with bipolar disorder tend to persist, and new-onset anxiety disorders developed in a substantial proportion of the sample. Early identification
of factors associated with the persistence CHIR 99021 and onset of new anxiety disorders may enable the development of strategies for treatment and prevention. J Clin Psychiatry 2012;73(1):87-94 (C) Copyright 2011 Physicians Postgraduate Press, Inc.”
“Pulsed AG-881 cell line electric fields with nanosecond duration and high amplitude have effects on biological subjects and bring new venue in disease diagnosis and therapy. To address this respect, we investigated the responses of paired tumor and normal human skin cells a basal cell carcinoma (BCC) cell line, and its sister normal cell line (TE) – to nanosecond, megavolt-per-meter pulses. When BCC (TE 354.T) and TE (TE 353.SK) cells, cultured under standard conditions, were exposed to 30 ns, 3 MV/m, 50 Hz pulses and tested for membrane permeabilization, viability, morphology, and caspase activation, we found that nanoelectropulse exposure: 1) increased cell membrane permeability in both cell lines but to a greater extent in BCC cells than in normal cells; 2) decreased cell viabilities with BCC cells affected more than normal cells; 3) induced morphological changes in both cell lines including condensed and fragmented chromatin with enlarged nuclei; 4) induced about twice as much caspase activation in BCC cells compared to normal cells.
Several population based AMD genetic studies have been carried ou
Several population based AMD genetic studies have been carried out worldwide. Despite the increased publication of reports, clinical
translation still eludes this davastating disease. We suggest models to address Selleck PXD101 roadblocks in clinical translation hoping that these would be beneficial to drive AMD research towards innovative biomarkers and therapeutics Therefore, addressing the need large autopsy studies and combining it with efficient use of bioinformatic tools, statistical modeling and probing SNP-biomarker association are key to time bound resolution of this disease.”
“Myelodysplastic Syndromes (MDSs) are clonal hematopoietic stem cell disorders characterized by ineffective hematopoiesis that often develop into acute myeloid leukemia (AML). MDSs are predominant in the elderly with an incidence of 20/100000 at 70 years of age. To date, the only curative treatment is allogeneic stem cell transplantation; however, a majority of patients are not eligible for this therapy. Azacitidine (AZA), a hypomethylating www.selleckchem.com/products/BKM-120.html agent, remains the primary treatment for MDS patients, which leads to a significant increase in overall survival (OS), although it is not curative. Although
it is well known that the impairment of apoptosis and differentiation are important features of this complex disease, the implication of autophagy in the pathogenesis of MDS is an emerging concept. Another significant advance in MDS pathogenesis research is the recent identification of mutations in genes encoding transcription factors implicated in hematopoiesis and proteins involved in splicing (SF3B1), methylation (DNMT3A), regulation of methylation (TET2 and IDH), DNA conformation (EZH2
and ASXL1) and differentiation (N- and K-RAS). Additionally, BCL2 family member expression and regulation may also affect the physiopathology of this disease. We have recently reported that targeting autophagy may be an interesting STI571 order option for the treatment of AZA-resistant patients. Thus, targeting the products of the above-mentioned genes or the signaling pathways affected by the corresponding proteins may be of great interest for the development of a new arsenal of molecules to fight MDS. In this review, we discuss the new aspects of MDS physiopathology and how recent advances in MDS pathogenesis research may impact future treatments to improve the outcome of MDS patients.”
“A new series of 5-glycylamino-2-substituted-phenyl-1,3-dioxacycloalkanes were designed and synthesized. The anti-inflammatory activities of these compounds were tested using the xylene-induced mouse ear edema model. Sixteen of these new compounds exhibited comparable or better anti-inflammatory activities than aspirin suggesting that they can be further developed as potential anti-inflammatory drug leads. In addition, treatment with these anti-inflammatory agents did not prolong tail bleeding time in mice.
Antioxid Redox Signal 15, 1427-1432 “
“Apparent homozygosi
Antioxid. Redox Signal. 15, 1427-1432.”
“Apparent homozygosity for the mutation p.R315X present on exon 5 of the arylsulfatase B (ARSB) gene in a mucopolysaccharidosis type VI patient was solved in this study by further testing for a second mutation. Patient cDNA analysis revealed that the entire exon 5 of the ARSB gene was lacking; this new mutation was identified as c.899-1142del. As the genomic DNA sequencing excluded the presence
of splicing mutations, polymerase chain reaction analysis was performed for polymorphisms listed in the NCBI SNP database for the ARSB gene. This allowed the mutation at the genomic DNA level to be identified see more as g.99367-102002del; this gross deletion, involving the entire exon 5 of the gene and parts of introns 4 and 5 led to a frameshift
starting at amino acid 300 and resulting in a protein with 39% amino acids different from the normal enzyme. We stress that extensive DNA analysis needs to be performed in case of apparent homozygosity to avoid potential errors in genetic counseling.”
“Background Hypertension affects up to 5 % of all children, but little is known about the role of medication adherence on blood pressure (BP) control. In this study we examined the association between adolescents’ antihypertensive medication adherence and BP control, investigating for racial disparities.\n\nMethods A total of 21 adolescents with essential hypertension [mean age 14.7 +/- 2.0 years, 57 % male, 52 % African American] were recruited from a pediatric nephrology clinic. Objective medication adherence measures
were obtained with Medication Event Monitoring selleck System Autophagy inhibitor solubility dmso (MEMS) caps and pharmacy refill records to determine medication possession ratios (MPRs).\n\nResults The African Americans adolescents had lower medication adherence than non-African Americans adolescents based on the MPR over the past 12 months (mean 0.54 +/- 0.21 vs. 0.85 +/- 0.16, respectively; p<0.001) and a trend for less adherence measured by MEMS caps over the last 28 days (mean 0.75 +/- 0.26 vs. 0.91 +/- 0.04, respectively; p<0.07). Seven of the eight participants with low adherence (MPR<0.65) had uncontrolled BP (systolic and/or diastolic BPs >= 95th percentile), and no participants with high adherence according to the MPR had uncontrolled BP (p<0.001). There was no difference in BP control by race.\n\nConclusions Antihypertensive medication adherence measured by pharmacy refills was associated with BP control. AAs were more likely to have lower medication adherence. Targeting medication adherence through the use of electronic medical records may be a potential mechanism to reduce health disparities.”
“OBJECTIVE: We sought to assess fetal cardiac function in monochorionic twins before and after therapy for twin-to-twin transfusion syndrome (TTTS) and compare it with control subjects.
“
“The Wnt signaling pathway plays a fundamental role during
“
“The Wnt signaling pathway plays a fundamental role during metazoan development, where it regulates diverse processes, including cell fate specification, cell migration, and stem cell renewal. Activation
of the beta-catenin-dependent/canonical Wnt pathway up-regulates expression of Wnt target genes to mediate a cellular response. In the nematode Caenorhabditis elegans, a canonical Wnt signaling pathway regulates several processes during larval development; however, few target genes of this pathway have been identified. To address this deficit, we used a novel approach of conditionally activated Wnt signaling during a defined stage of larval life by overexpressing an activated beta-catenin protein, then used microarray analysis to identify genes showing altered expression compared with control animals. We identified 166 differentially expressed genes, of which 104 were up-regulated. A subset this website of the up-regulated genes was shown to have altered expression in mutants with decreased or increased Wnt signaling; we consider these genes to be bona fide C. elegans Wnt pathway targets. Among these was a group of six genes, including the
cuticular collagen genes, bli-1 col-38, col-49, and col-71. These genes show a peak of expression in the mid L4 stage during normal development, suggesting a role in adult cuticle formation. Consistent with this finding, reduction of function https://www.selleckchem.com/products/PD-173074.html for several of the genes causes phenotypes suggestive of defects in cuticle function or integrity. Therefore, this work has identified a large number of putative Wnt pathway target genes during larval life, including
a small subset of Z-DEVD-FMK chemical structure Wnt-regulated collagen genes that may function in synthesis of the adult cuticle.”
“Vascular endothelial growth factor (VEGF) was identified in 1980s as a protein that increases vascular permeability and induces endothelial cell-specific mitosis. VEGF plays an important role in angiogenesis during the embryonic stage and in angiogenesis and in increasing vascular permeability during postnatal life, both physiologically and pathologically. Great progress has been made in studies of VEGF, mainly in the field of oncology, and VEGF-targeted therapy has been successfully used to treat patients with cancer. In research related to chronic inflammation, several reports concerning rheumatoid arthritis or retinopathy and VEGF have been published. In the lower respiratory tract, increased levels of VEGF have been detected in biological samples from patients with asthma. However, VEGF has not been studied in detail in upper-airway diseases, such as rhinosinusitis. This review article focuses on VEGF and allergic rhinitis to advance studies of VEGF in chronic inflammation of the upper respiratory tract.
Synchronization accuracy between rhythmic cues and right index fi
Synchronization accuracy between rhythmic cues and right index finger tapping, as measured by the mean time lag (asynchrony) between motor and auditory events, was significantly affected when the right dPMC function was transiently perturbed by off-line focal rTMS, whereas the reproduction of the rhythmic sequence per se (inter-tap-interval) was spared. This approach affected metrical rhythms of different complexity,
but not non-metrical or isochronous sequences. Conversely, no change in auditorymotor synchronization was observed with rTMS of the SMA, of the left dPMC or over a control site (midline occipital area). Our data strongly support the view that the right dPMC is crucial for rhythmic auditorymotor synchronization www.selleckchem.com/products/BKM-120.html in humans.”
“In all phases of multiple sclerosis (MS), cognitive deficits (CD) are an important predictor of the quality of life and the frequent cause of job loss. The deficits usually have a character of a mild cognitive impairment and their manifestation varies greatly. Therefore, accurate neuropsychological assessment is important. Mild cognitive symptoms in MS usually include problems with the speed of information processing and visual learning, dysfunction of complex attention
and executive functions. Rehabilitation of cognitive functions can significantly influence and minimize the impact of the disease. Rehabilitation of cognitive deficits has changed from “pencil-paper” method to computer-program-based rehabilitation. Apoptosis Compound Library in vitro This papers reviews a range of studies dealing with cognitive function rehabilitation, including both quantitative and qualitative results, and both short- and long-term results. The positive effects of this website rehabilitation
are clearly shown by increased quality of life and alleviated depressive symptoms. Further discussion is needed about durability of this effect and what other factors can positively support the training effects.”
“Sweet potato starch was modified by cross-linking, hydroxypropylation, and combined cross-linking and hydroxypropylation, and the starches were subsequently sieved to obtain differently sized granule fractions. The effects of granule size of native and modified sweet potato starch fractions and all fractions were investigated with respect to their physicochemical properties. The large-size granule fraction (27-30 mu m) showed a 16-20% higher chemical phosphorylation and a 47% higher hydroxypropylation than the small-size granule fraction (14-16 mu m). The large-size granule fractions of native and modified sweet potato starches showed lower transition temperatures (0.7-3.1 degrees C for peak temperature of gelatinization) and lower enthalpy changes (0.6-1.9 J/g) during gelatinization than the small-size granule fractions, making the sweet potato starch different from cereal starches. The large-size granule fraction of native starch showed a higher paste viscosity (78-244 cP) than the corresponding small-size granule fraction.
In our screening program to identify actinomycetes capable of con
In our screening program to identify actinomycetes capable of converting AS1387392 to AS1429716, which has an active moiety to synthesize more derivatives, we identified 12 strains capable of efficient hydroxylation. Results of phylogenetic analysis of 16S rDNA sequences suggested that these
strains belonged to the genera Lentzea, Saccharopolyspora, Sphaerisporangium and Amycolatopsis. Morphological and chemical characteristics Nutlin-3 clinical trial as well as results of phylogenetic analysis suggested that strain No. 7980 was a new species belonging to the genus Amycolatopsis, according to the FASTA search result of 16S rDNA gene sequence. Using these strains, we can easily produce AS1429716 as a chemical template for further chemical modifications, which may provide more effective and safer immunosuppressant. The Journal of Antibiotics (2010) 63, 637-642; doi:10.1038/ja.2010.89; published online 28 July 2010″
“To ascertain genomic alterations associated with Imatinib resistance in chronic myeloid leukaemia, we performed high resolution genomic analysis of CD34(+) cells from 25 Imatinib (IM) resistant and 11 responders CML patients. Using patients’ T-cells as reference, we found significant association
between number of acquired cryptic copy number alterations (CNA) and disease phase (p = 0.036) or loss of IM response for patients diagnosed in chronic BVD-523 phase (CP) (p = 0.04). Recurrent cryptic losses were identified on chromosomes 7, 12 and 13. On chromosome 7, recurrent deletions of the IKZF1 locus were detected, for the first time, in 4 patients in CP. (c) 2010 Elsevier Ltd. All rights reserved.”
“PURPOSE: To evaluate resident refractive surgery caseload and surgical outcomes in an academic medical center.\n\nSETTING: Walter Reed Army Medical Center, Washington, DC, USA.\n\nDESIGN: Comparative case study.\n\nMETHODS: Keratorefractive procedures performed by residents at the Walter Reed Center for Refractive Surgery between 2002 and 2010 were reviewed. Outcomes of surgeries performed by the graduating
ZD1839 in vitro classes of 2008 to 2010 were compared with those of cases performed by staff. The uncorrected distance visual acuity (UDVA), manifest refraction spherical equivalent, corrected distance visual acuity (CDVA), and complications were analyzed.\n\nRESULTS: Between 2002 and June 2010, residents performed 1566 procedures (1414 photorefractive keratectomy [PRK], 152 laser in situ keratomileusis), for a mean of 20.2 procedures from 2002 to 2004, 51.6 from 2005 to 2007, and 99.9 from 2008 to 2010. Outcomes analysis was performed on 333 resident eyes and 977 staff eyes treated between 2008 and June 2010. Six months postoperatively, 96.1% of resident-treated eyes and 94.6% of staff-treated eyes had a UDVA 20/20 or better (P=.312) and 61.3% and 64.