These results serve to validate the ISE as a means for program di

These results serve to validate the ISE as a means for program directors to identify residents at academic risk and as encouragement for residents to take the certification exam as soon as possible after graduation. (Am J Prev Med 2011;41(6):641-644) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine”
“Electronic structure and magnetism of charge disproportionated CaCu3Fe4O12 observed at low temperatures are studied by first-principles calculations. A ferrimagnetic order is found to

be stable and calculated x-ray magnetic circular Nutlin-3 datasheet dichroism (XMCD) spectra at Fe and Cu L-edges are consistent with recent experimental results. Calculated XMCD at O K-edge spectra in GM6001 order accordance with experiment indicate the existence of finite O 2p holes with spin polarization possibly due to hybridization with Fe 3d states. Possible enhancement of spin magnetic dipole at the Cu site is discussed in relation to its square planar coordination.”
“Muscle depletion or sarcopenia is associated with increased mortality in patients with cirrhosis; how it affects mortality after liver transplantation requires further study. In this study, we aimed to establish whether sarcopenia predicts increased morbidity or mortality after liver transplantation. We analyzed

248 patients with cirrhosis who had a computed tomography (CT) scan including the third lumbar vertebra before liver transplantation. Data were recovered from medical charts, the skeletal muscle cross-sectional area was measured with CT, and sarcopenia was defined

check details with previously published sex-and body mass index-specific cutoffs. One hundred sixty-nine patients (68%) were male, and the mean age at transplantation was 55 +/- 1 years. The etiologies of cirrhosis were hepatitis C virus (51%), alcohol (19%), autoimmune liver diseases (15%), hepatitis B virus (8%), and other etiologies (7%). Sarcopenia was present in 112 patients (45%), and it was more frequent in males (P=0.002), patients with ascites (P=0.02), and patients with higher bilirubin levels (P=0.05), creatinine levels (P=0.02), international normalized ratios (P=0.04), Child-Pugh scores (P=0.002), and Model for End-Stage Liver Disease scores (P=0.002). The median survival period after liver transplantation was 117 +/- 17 months for sarcopenic patients and 146 +/- 20 months for nonsarcopenic patients (P=0.4). Sarcopenic patients had longer hospital stays (40 +/- 4 versus 25 +/- 3 days; P=0.005) and a higher frequency of bacterial infections within the first 90 days after liver transplantation (26% versus 15%, P=0.04) in comparison with nonsarcopenic patients.

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