77% had acute respiratory failure, and several deaths also occurr

77% had acute respiratory failure, and several deaths also occurred. The mean length of hospital stay was 2.8 days. The estimated annual cost of hospitalization find more for pyelonephritis in pregnancy was $263 million. Conclusions: Hospitalization for pyelonephritis in pregnancy is associated with recognizable characteristics including age and diabetes. Serious medical complications

and even mortality can occur.”
“In children, including those aged <5 years, an IGRA is useful as an adjunct. If the child’s IGRA test is positive, it may support diagnosis of active TB. QFT was positive in 83% of the children diagnosed with active TB. Of course, the IGRA should not be used to rule out a diagnosis of TB. However, low rates of IGRA-positives have been reported in studies of young

Combretastatin A4 purchase children and infants supposedly with LTBI, without active TB. Of four babies (aged 0-6 years) with positive TSTs without BCG history, only two were QFT-G-positive. There is also a case where a mother developed smear-positive TB 2 months after the baby was born. The child’s TST was negative and the QFT was indeterminate. Seven months later the child became TST-positive and the QFT was still indeterminate. In a second case, the mother developed smear-positive TB one month after the baby’s birth and at 3 months the baby was TST-positive and QFT-negative. At 7 months the baby was again QFT tested and still QFT-negative. In one additional piece of relevant data from Japan, looking at BCG-vaccinated contacts in Japan, two of four TST-positive contacts 1-2 years of age were also OFT-positive; seven of 23 TST-positive contacts aged 3-6 years of age were QFT-positive; five of 19 TST-positive contacts

aged 7-12 years of age were also QFT-positive; and five of 7 TST-positive contacts aged 13 to 15 years of age were also QFT-positive. These findings suggest that in the case of LTBI, not TB disease, QFT sensitivity depends on age, and it is higher in older children. Our tentative recommendation for the diagnosis of LTBI in children is that for those aged <5 years, tuberculin testing cannot be omitted, while for the older children QFT is prioritized.”
“Objective: The aim is to evaluate intrapartum fetal oxidative stress in real-time by umbilical cord blood dimethyl sulfate HSP990 inhibitor (DMSO)-induced ascorbyl free radical (AFR) measured by an electron spin resonance (ESR) method. Methods: 75 mothers delivering at gestational age after 37 weeks were recruited. They were divided into three groups: spontaneous vaginal birth (n = 27), elective cesarean section (CS) (n = 34), and emergency CS due to non-reassuring fetal status (n = 14). Umbilical artery (UA) and venous (UV) cord blood gas analysis was performed. Serum levels of DMSO-induced AFR (AFR/DMSO) that reflect vitamin C concentrations, was measured by ESR spectroscopy. Results: Blood gas analysis showed no significant differences among the groups.

The concept of the proposed method is that the induced velocity o

The concept of the proposed method is that the induced velocity on SMPs in suspension, while imposed to a magnetic field gradient, is inversely proportional to their volume. Specifically, a velocity variation of suspended functionalized SMPs inside a detection Savolitinib mw microchannel with respect to a reference velocity, specified in a parallel reference microchannel, indicates an increase in their non-magnetic volume. This volumetric

increase of the SMPs is caused by the binding of organic compounds (e.g., biomolecules) to their functionalized surface. The new compounds with the increased non-magnetic volume are called loaded SMPs (LSMPs). The magnetic force required for the manipulation of the SMPs and LSMPs is produced by current currying conducting microstructures, driven by a programmable microcontroller. Experiments were carried out as a proof of concept. A promising decrease in the velocity of the LSMPs in comparison to that of the SMPs was measured. Thus, it is the velocity variation which determines the presence of the organic compounds in the sample fluid. (C) 2013 AIP Publishing LLC.”
“We report first-principles study of the magnetic structure of Mn3Si. The Mn atoms form two sublattices.

One of them is (Mn-perpendicular to) characterized by large atomic magnetic moments and the other one Mn-coproduct) possesses BKM120 induced moments. It is shown that in agreement with experiment the magnetic ground state is a spin spiral. We found that the spiral magnetic structure is formed as a result of the competition between direct antiferromagnetic

interaction of the Mn-I magnetic moments and indirect ferromagnetic interaction of the same moments through the magnetic moment of the Mn-coproduct sublattice. We demonstrate that this competition is strongly volume dependent and leads to volume dependence of the wave vector of the spin spiral. These properties are related to the volume dependence of the induced moments of Mn-coproduct atoms. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3068422]“
“The objective of this work was to investigate the influence of hydrodynamics on the growth kinetics of surface-adhering Pseudomonas putida cells. The results showed in particular Copanlisib that under non substrate-limiting conditions, the early step of bacterial apparent growth rate is lower than those measured with suspended cells. Contrary to previously cited authors which explain this behavior to the different adhesive properties of the “”daughter”"-cells (which makes more probable the detachment of these daughter-cells), in our experimental conditions, that explanation does not hold and we show a clear dependence of growth kinetics with flow conditions, due to the formation of boundary layer concentration at low Reynolds number. These results revealed that using Monod law in the modeling of biofilm growth in fixed-biomass processes should be performed with care.

5 mM concentration as compared to control (C) 2011 Elsevier Mass

5 mM concentration as compared to control. (C) 2011 Elsevier Masson SAS. All rights reserved.”
“Recent studies on traditional

medicine (TM) have begun to change perspectives on TM effects and its role in the health of various populations. The safety and effectiveness of some TMs have been studied, paving the way to better collaboration between modern and traditional systems. Traditional medicines still remain a largely untapped health resource: they are not only sources of new leads for drug discoveries, but can also provide lessons and novel approaches that may have direct public-health and economic impact. To optimize such impact, several interventions have been suggested, CDK inhibitors in clinical trials including recognition of TM’s economic and medical worth at academic and health policy levels; establishing working relationships with those prescribing TM; providing evidence for safety and effectiveness of local TM through appropriate buy PR-171 studies with malaria patients; spreading results for clinical recommendations and health policy development; implementing and evaluating results of new health policies that officially integrate TM.”
“Visceral leishmaniasis (VL) due to Leishmania infantum is an endemic parasitic infection in the Mediterranean area. It most commonly affects immunosuppressed

individuals, especially HIV patients and less frequently organ transplant recipients. Renal involvement seems to be frequent and is mostly associated with tubulointerstitial nephritis, as described in autopsy reports. In the 61 cases of renal transplant recipients with VL reported in the literature, renal dysfunction was noted at clinical GSK126 concentration presentation and was more frequently observed as a complication of antiparasitic therapy. However, no pathological analysis of the allograft lesions was reported. We present the case of a Swiss renal transplant recipient who developed VL after vacations in Spain and Tunisia, complicated by acute parasitic nephritis in the renal allograft 3 months after

a well-conducted treatment of liposomal amphotericin B.”
“Chlorogenic acid (CGA), a product of the phenylpropanoid pathway, is one of the most widespread soluble phenolic compounds in the plant kingdom. Although CGA is known to have important roles in plant function, its relevance in plant de novo organogenesis is not yet understood. With a series of experiments, here we show that CGA has a potential role in shoot, root and root hair development. In the first phase of our investigation, we developed an efficient and novel thin cell layer (TCL) regeneration protocol for Hypericum perforatum which could bridge all the in vitro morphogenetic stages between single cell and complete plant. Tissues at different morphogenetic states were analysed for their phenolic profile which revealed that shoot differentiation from callus tissues of H. perforatum is accompanied by the onset of CGA production.

This effect can be mitigated by controlling the film thickness (

This effect can be mitigated by controlling the film thickness. (C) 2011 American Institute of Physics. [doi:10.1063/1.3524567]“
“pH-sensitive

hydrogels composed of poly( vinyl pyrrolidone)/acrylic acid (PVP/AAc) were prepared by means of gamma-radiation induced graft copolymerization and crosslinking. The effects of pH and ionic strength on the equilibrium of swelling for the prepared hydrogels were investigated. Studying the diffusion’s parameters and coefficient as a function of the pH values for the surrounding solution showed drastic changes in the swelling parameters as a result of changing the surrounding solution pH values. To estimate the ability of the prepared copolymer to be used as a colon-specific drug carrier, the release of indomethacin was monitored as a function of time at pH 1 and 7. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 120: 3484-3489, 2011″
“Assess Cilengitide price the effectiveness of low-level laser therapy on pain reduction and improvement in function in the hands of patients with rheumatoid arthritis. A randomized double-blind controlled trial was carried out on 82 patients with rheumatoid arthritis. The experimental

group was submitted to the application of laser therapy, whereas the control group received a placebo laser. Aluminum gallium arsenide laser was used, at a wavelength of 785 nm, dose of 3 J/cm(2) and mean power of 70 mW. The groups were homogenous at the beginning of the study with regard to the main variables (p > 0.05). There were no statistically significant Dibutyryl-cAMP in vitro differences between groups in most of the measurements taken at the end of the intervention including the primary variables; the following variables were the exceptions: favoring the experimental group-inflammation of the interphalangeal joint of the right thumb (p = 0.012)

and perimetry of the interphalangeal joint of the left thumb (p = 0.013); and favoring the control group-flexion of the proximal interphalangeal joint of Ruboxistaurin the right fifth finger (p = 0.021), perimetry of the third proximal interphalangeal joint of the right hand (p = 0.044), grip strength in the left hand (p = 0.010), and the work domain of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire (p = 0.010). We conclude that low-level aluminum gallium arsenide laser therapy is not effective at the wavelength, dosage, and power studied for the treatment of hands among patients with rheumatoid arthritis.”
“In this paper we explore the spontaneous formation of micropatterns in thin prestressed polygonal films using finite element simulations. We study films with different size, thickness, and shape, including square, rectangular, pentagonal, and hexagonal films. Patterns form when the films release the internal eigenstrain by buckling-up, after which the films bond-back to the substrate.

After IOL insertion with the injector, each haptic is externalize

After IOL insertion with the injector, each haptic is externalized through 2 adjacent corneal incisions. A 10-0 polypropylene suture loop is made at each exposed haptic and transscleral IOL fixation performed. This modified technique is a safe and effective way to fixate the IOL in eyes with insufficient capsule support.”
“A series of novel semi-2-interpenetrating polymeric Selleckchem GSK923295 networks (semi-2-IPNs) were prepared through blending in solution using two different polyimides, biscitraconamic acid as a precursor of biscitraconimide (MBMI) with various proportions of polyetherimide (PEI) to achieve optimum properties. Biscitraconamic acid was prepared by reacting

citraconic anhydride (CA), 3,3′,4,4′-benzophenone tetracarboxylic dianhydride Vorinostat order (BTDA) and bis(3-aminopropyl)phenyl phosphine (BAPPP) and it was characterized by differential scanning calorimetry (DSC), FTIR, and H-1-NMR spectroscopy. Both biscitraconamic acid and PEI were blended in N,N-dimethylacetamide (DMAc) solution, casted and thermally cured up to 300 degrees C to give semi-2-IPNs. The MBMI/PEI semi-IPN systems were characterized by UV-Vis spectroscopy, FTIR spectroscopy and thermal techniques. The phase morphology, isothermal aging, and water uptake of semi-IPN systems have also been studied. The morphological studies on phase distribution were investigated

by scanning electron microscopy (SEM). Thermal performance of MBMI/PEI semi-IPN systems were evaluated by DSC and thermo gravimetric analysis (TGA). All the compositions of semi-IPN polyimide system were stable up to 400 degrees C and their thermal

stability increased with increase in the content of PEI. Isothermal aging studies done at 300 degrees C for various time periods showed good thermo-oxidative stability. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 120: 2790-2799, 2011″
“We present a laser ultrasonics experiment with imaging capabilities performed in transmission through semiconductor substrates. Such HIF pathway experiment provides a new kind of bulk wavefront imaging using an ultrafast optical generation and detection scheme for gigahertz waves. The data may be viewed as two-dimensional slices of the three-dimensional acoustic wavefront revealing the basic anisotropy of the solid with 0.3 ps time resolution and 3 mu m space resolution and allowing the determination of the whole set of elastic constants for various experimental conditions. As examples, measurements are carried out in a Si(001), GaAs(001), and GaAs(111) sample at 20 and 300 K. (C)2011 American Institute of Physics. [doi:10.1063/1.3532034]“
“PURPOSE: To compare outcomes of cataract extraction in seeing eyes of functionally versus completely monocular patients.

SETTING: Jules Stein Eye Institute and Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

5) The left pulmonary

artery diameter, McGoon ratio, and

5). The left pulmonary

artery diameter, McGoon ratio, and Nakata index did not differ significantly between the two groups (P > 0.05), but the right pulmonary diameter was larger GSK1210151A mouse in the stented group (5.01 +/- A 0.45 vs 4.1 +/- A 0.49 mm; P = 0.0001). Stenting for the PDA is an appropriate alternative to surgical shunt creation in many patients with duct-dependent circulation. In our sample, the two groups did not differ significantly in terms of outcome or mortality.”
“Accurate grading of the presence and severity of heart failure (HF) signs and symptoms in infants and children remains challenging. It has been 25 years since the Ross classification was first used for this purpose. Since then, several modifications of the system have been used and others P505-15 ic50 proposed. New evidence has shown that in addition to signs and symptoms, data from echocardiography, exercise testing, and biomarkers such as N-terminal pro-brain

natriuretic peptide (NT-proBNP) all are useful in stratifying outcomes for children with HF. It also is apparent that grading of signs and symptoms in children is dependent on age because infants manifest HF differently than toddlers and older children. This review culminates in a proposed new age-based Ross classification for HF in children that incorporates the most useful data from the last two decades. Testing of this new system will be important to determine whether an age-stratified scoring system can unify the way communication of HF severity and research on HF in children is performed in the future.”
“After single-ventricle palliation, patients have variable long-term functional outcomes. Cardiopulmonary exercise testing LY294002 purchase (CPET) is an assessment tool used to quantify functional outcome. Oxygen pulse kinetics during CPET, which can be an important indicator of dynamic changes in stroke volume reserve, has not been systematically studied

in this population. This study aimed to analyze oxygen pulse kinetics during a treadmill ramp protocol among patients with Fontan physiology compared with that of normal subjects and to explore the ability of oxygen pulse kinetics to define functional status further. Peak oxygen pulse and change in oxygen pulse during ramp treadmill CPET were retrospectively collected and compared between 44 Fontan patients and 85 age- and sex-matched control subjects. The peak oxygen pulse was significantly lower in the Fontan group (9.80 +/- A 4.11 ml/beat) than in the control group (13.62 +/- A 4.7 ml/beat) (p a parts per thousand currency sign 0.001). The resting oxygen pulse did not differ between the two groups (3.13 +/- A 1.23 vs. 3.09 +/- A 1.33 ml/beat; p = 0.88). The oxygen pulse was higher in the patients with chronotropic insufficiency, but the difference was not statistically significant (11.11 +/- A 4.97 vs. 9.25 +/- A 3.63 ml/beat; p = 0.17).

Objective: The objective was to compare

Objective: The objective was to compare GANT61 research buy in vivo dietary protein digestion and absorption kinetics and subsequent postprandial muscle protein synthesis rates at rest and after exercise between young and elderly men.

Design: Young and elderly men consumed a 20-g bolus of intrinsically L-[1-(13)C]phenylalanine-labeled protein at rest or after exercise. Continuous infusions with L-[ring-(2)H(5)]phenylalanine were applied, and blood and muscle samples were collected to assess in

vivo protein digestion and absorption kinetics and subsequent postprandial muscle protein synthesis rates.

Results: Exogenous phenylalanine appearance rates expressed over time did not differ between groups. No differences were observed in plasma phenylalanine availability between the young (51 +/- 2%) and elderly (51 +/- 1%) men or between the rest (52 +/- 1%) and exercise (49 +/- 1%) conditions. Muscle protein synthesis rates calculated from the oral tracer were 0.0620 +/- 0.0065%/h and 0.0560 VRT752271 +/- 0.0039%/h for the rest condition and 0.0719 +/- 0.0057%/h and 0.0727 +/- 0.0040%/h for the exercise condition in young and elderly men, respectively (age effect: P = 0.62; exercise effect: P < 0.05; interaction of age and exercise: P = 0.52).

Conclusions: Dietary protein digestion and absorption kinetics are not impaired after exercise or at an older age. Exercising before protein intake allows for a greater use of dietary protein-derived amino

acids for de novo muscle protein synthesis in both young and elderly men. GM6001 This trial was registered at clinicaltrials. gov as NCT00557388. Am J Clin Nutr 2011;93:322-31.”
“Nicotine sustains tobacco addiction, a major cause of disability and premature death. Nicotine binds to nicotinic cholinergic receptors, facilitating neurotransmitter release and thereby mediating the complex actions of nicotine in tobacco users. Dopamine, glutamate, and gamma aminobutyric acid release are particularly important in the development of nicotine dependence,

and corticotropin-releasing factor appears to contribute to nicotine withdrawal. Nicotine dependence is highly heritable. Genetic studies indicate roles for nicotinic receptor subtypes, as well as genes involved in neuroplasticity and learning, in development of dependence. Nicotine is primarily metabolized by CYP 2A6, and variability in rate of metabolism contributes to vulnerability to tobacco dependence, response to smoking cessation treatment, and lung cancer risk. Tobacco addiction is much more common in persons with mental illness and substance abuse disorders, representing a high proportion of current smokers. Pharmacotherapeutic approaches to tobacco addiction include nicotine replacement, bupropion, and varenicline, the latter a selective nicotine receptor partial agonist.”
“Background: Community engagement and participation has played a critical role in successful disease control and elimination campaigns in many countries.


“The titanium dioxide (TiO2) films prepared by sol-gel pro


“The titanium dioxide (TiO2) films prepared by sol-gel processing were used to fabricate metal-semiconductor-metal Belinostat mouse ultraviolet photodetectors. A very low dark current of 5.38 pA (current density of 3.84 nA/cm(2)) at 5 V bias is obtained, which is ascribed to the high effective Schottky barrier between Au and TiO2 films. The x-ray photoelectron spectroscopy analysis demonstrates

that the concentration of oxygen vacancies is very low in the surface of the TiO2 films, which is responsible for the high effective Schottky barrier. The devices exhibit a cutoff wavelength at about 380 nm and a large UV-to-visible rejection ratio (340 versus 400 nm) of three orders of magnitude. The peak responsivity of the devices is 17.5 A/W at 5 V bias, indicating the presence of internal photoconductive gain induced by desorption of oxygen on the TiO2 surface. (C) 2011 American Institute of Physics. [doi:10.1063/1.3537918]“
“The

goal of the Smart Choices Program (SCP) is to provide a simple front-of-the-package icon system to direct consumers to smarter food choices in the supermarket, which will eventually lead to more balanced diets and to more beneficial foods as food manufacturers renovate products to meet the nutrition criteria for carrying CAL-101 chemical structure the icon. The SCP was developed by a coalition of scientists and nutrition educators, experts with experience with dietary guidelines, public health organizations, and food manufacturers in response to consumer confusion over multiple CA3 molecular weight front-of-the-package systems based on different criteria. Representatives from different government organizations acted as observers. The process of developing

the program was facilitated by the nonprofit Keystone Center, an organization that develops consensus solutions to complex health and social policy changes. The nutrition criteria for receiving the SCP icon are specific for product category by indicating “”smarter”" products within that category. A calorie indicator noting calories per serving and servings per package accompanies the SCP icon to remind consumers that calories do count, even for smarter food choices. For a product to qualify, it first has to be below the threshold for “”nutrients to limit”" and then (in most cases) it must be above the threshold for one or more nutrients or food groups to encourage. The criteria are based on the 2005 Dietary Guidelines and other consensus science and are transparent and available on the SCP website. This article describes the nutrition criteria and rationales for their selection. Am J Clin Nutr 2010;91(suppl):1078S-89S.”
“The metal-insulator transition (MIT) in vanadium dioxide in the vicinity of room temperature makes it one of the most interesting materials for novel switching device applications.

In 1998, formal diagnostic criteria were proposed for a syndrome

In 1998, formal diagnostic criteria were proposed for a syndrome of cancer-related fatigue. These criteria were intended to facilitate the study of cancer-related fatigue and the development of appropriate interventions MDV3100 chemical structure to ameliorate fatigue. Although the criteria have been widely cited, to date, there has been no

systematic review of research using the criteria that might inform their continued use or revision. Methods We conducted a systematic review of the literature reporting results based on use of the diagnostic criteria. Data were analyzed to characterize the reliability and validity of the criteria and to describe the prevalence of cancer-related fatigue. Results We identified nine eligible studies. The purpose of the majority of the studies was to estimate the prevalence see more of cancer-related fatigue; there was considerable variability with respect to design and nature of the samples included. Although few studies examined reliability of the criteria, findings reported support their reliability. The validity of the criteria judged relative to established measures of fatigue and related constructs appears to be strong. Prevalence rates

for cancer-related fatigue based on the diagnostic criteria vary widely, reflecting a lack of consistency in how the criteria have been applied. Conclusions As a comprehensive approach to diagnosing cancer-related fatigue, the diagnostic criteria have received relatively scant attention by the clinical research community. Our findings suggest the need for research aimed at revising the criteria, enhancing their usefulness, and promoting their more widespread use. Copyright (c) 2012 John Wiley & Sons, Ltd.”
“Composites of polyvinylidene fluoride (PVDF) filled with metallic particles of nickel (Ni) were prepared via a blending and hot-molding LB-100 nmr technique.

Rescaled temperature dependence of electric and dielectric behaviors of Ni/PVDF composites were studied at wide content ranges. Results show that there is significant positive temperature coefficient effect and giant dielectric constant as the concentration of Ni is near the percolation threshold. The nonuniform distribution of filler particles in PVDF host is observed from the scanning electron microscope micrograph since they are aggregated in amorphous regions of PVDF and form a network of conducting chains. Two relaxation peak regions of dielectric constant are observed from -10 to 40 degrees C and from 100 to 150 degrees C, which can be attributed to the contribution of polar effect of PVDF. The percolation theory, the thermal expansion model, and the simple concept of polarization in the capacitors are employed to explain these experimental results.”
“The mouse preadipocyte 3T3-L1 line is the most useful cell line for the study of adipocytes. Adipocytes secrete adipocytokines, and abnormal adipocytokine production can cause the metabolic syndrome.

[doi:10 1063/1 3658809]“
“An epigenetic control of vernaliza

[doi:10.1063/1.3658809]“
“An epigenetic control of vernalization has been demonstrated in annual plants such as Arabidopsis and cereals, but the situation remains unclear in biennial plants such as sugar beet that has an absolute requirement for vernalization. The role of DNA methylation in flowering induction and the identification of corresponding target loci also need to be clarified. In this context, sugar beet (Beta vulgaris altissima) genotypes differing in bolting tolerance were submitted

to various bolting conditions such as different temperatures and/or methylating drugs. DNA hypomethylating treatment was not sufficient to induce bolting while DNA hypermethylation Dibutyryl-cAMP treatment inhibits and delays bolting. Vernalizing and devernalizing temperatures were shown to affect bolting as well as DNA methylation levels in the shoot apical meristem. In addition, a negative correlation was established between bolting and DNA methylation. Genotypes considered as resistant or sensitive to bolting could also be distinguished by their DNA methylation levels. Finally, sugar beet homologues of the Arabidopsis vernalization genes FLC and VIN3 exhibited distinct DNA methylation marks during GSK1904529A in vivo vernalization independently to the variations of global DNA methylation. These vernalization genes also displayed differences in mRNA accumulation and methylation profiles between genotypes resistant or sensitive to bolting. Taken together,

the data suggest that the time course and amplitude of DNA methylation variations are critical points for the induction of sugar beet bolting and represent an epigenetic component of the genotypic bolting tolerance, opening up new perspectives for sugar beet breeding.”
“Aggarwal

S, Bane BC, Boucek CD, Planinsic RM, Lutz JW, Metro DG. Simulation: a teaching tool for liver transplantation anesthesiology. Abstract: Anesthesia for liver transplantation (ALT) requires extensive preparation and rapid recognition of changing clinical conditions. Owing to the proliferation of transplant centers, greater number of anesthesia providers need training in specific skills required to treat these patients. These cases are no longer learn more limited to few transplant centers; therefore, reduction of cases in individual centers has created a need for simulation training to prepare and supplement clinical experience. We have developed an ALT simulation course for senior anesthesia residents which combines didactic sessions with live-patient-based and mannequin-based simulation. Outcomes have been measured using pre- and post-simulation course quizzes as well as a survey given at the end of the month-long ALT rotation. Twenty-four senior anesthesiology residents (n = 24) have completed the ALT simulation course. Residents had an average score of 75% +/- 10% on the pre-simulation quiz, which increased to 92% +/- 6.5% on the post-simulation quiz (p < 0.001).