5% (63/66), respectively The disease stage and tumor differentia

5% (63/66), respectively. The disease stage and tumor differentiation subgroups showed significantly different detection

sensitivities; the sensitivity was 10% in early-stage patients and 56% in advanced-stage patients (p = 0.0014). For patients with poorly differentiated tumors, the sensitivity was 77.8%, which was significantly different from those with highly differentiated (20%; p = 0.0230) and moderately differentiated https://www.selleckchem.com/screening/natural-product-library.html tumors (19%; p = 0.0042). Conclusion: Blood analyses for EGFR mutations may be effectively used in advanced-stage patients or patients with poorly differentiated tumors. Copyright (C) 2012 S. Karger AG, Basel”
“Study Design. Consecutive case series cohort.

Objective. To determine the relative frequencies of the spine, the sacroiliac (SI) joint, and the hip joint being the primary pain generator among patients presenting at a spine surgery clinic for low

back pain (LBP).

Summary of Background Data. Identification of the primary pain generator in a patient with LBP is difficult. Possible pain sources include the lumbar spine, the SI joint, and the hip joint. Their relative frequencies among patients presenting at a spine surgeon’s clinic have not been well established.

Methods. Three hundred sixty-eight new patients were seen at a single spine surgeon’s clinic during a 10-month period. Of these, 289 (78.5%) complained primarily of LBP with or without leg pain. Seventy-seven had previous surgery. The remaining 200 cases were reviewed FDA approved Drug Library screening for all diagnostic tests performed, as well as the final diagnosis.

Results. One hundred sixty-four (82%) had spine pathology, but only 130 (65%)had spine-only pathology, whereas 35 (17.5%) had a combination of spine plus hip and/or SI joint pathology. An additional 16 (8%) had hip and/or SI joint pathology without Belnacasan mw spine pathology. Twenty

(10%) had an undefined pain source. Overall, 25 (12.5%) had hip pathology, and 29 (14.5%) had SI joint pathology.

Conclusion. For patients presenting to a spine surgeon’s clinic for LBP, up to 25% of patients may have significant pain contribution from the hip or SI joints, and an additional 10% will still have an undefined pain source even after diagnostic workup. This underscores the need for clinicians to be aware of nonspinal pain generators and to appropriately pursue alternative diagnoses.”
“The volatile organic compounds (VOCs) -d-limonene, alpha-pinene, and isoprene- are widely used in scented products including food flavorings, air fresheners, and cosmetics. The effects of these VOCs on cell viability, oxidative stress generation, and the related molecular events were investigated in A549 and HepG2 cells. alpha-Pinene induced cell death, reactive oxygen species (ROS) generation, and reporter gene activities of antioxidant response element (ARE), activator protein 1 (AP-1), and nuclear factor (NF)-kappa B. alpha-Pinene stimulated the redox-sensitive transcription factors such as nuclear factor E2-related factor 2 (Nrf2) and NF-kappa B.

Misclassification leads to increased risk of relapse due to insuf

Misclassification leads to increased risk of relapse due to insufficient treatment if a multibacillary patient is classified as paucibacillary. This also prolongs the time the patient is infective. Over the years, the criteria used for classification (for treatment purpose) of leprosy patients have changed significantly from bacterial index measuring approach through number of skin lesions. The reliability of both of these criteria has been questioned. Several studies have shown that the presence of antibodies to

the Mycobacterium leprae-specific antigens correlates with the bacterial load of a leprosy compound inhibitor patient. Further, there are reports where results of serology and bacteriological approaches have been found to agree substantially. Thus, serology seems to be a worthwhile convenient alternative tool for classification of leprosy into multibacillary or paucibacillary. Nevertheless, in view of the limitations of various classification criteria, follow-up studies are called YM155 cost for to understand the efficiency of various approaches in preventing relapse after treatment. The method ensuring the lowest rate of relapse could be adopted for future use in classifying these patients.”
“A two-dimensional electron gas (2DEG) is observed in C-face 3C-SiC/6H-SiC polytype heterostructures by capacitance-voltage

method. The carrier density of the 2DEG is found to be 2.5×10(12) cm(-2). By semiclassical analysis of the electrostatics, we extract the spontaneous polarization charge in 6H-SiC to be 3×10(12) cm(-2). This value quantitatively agrees well with previous measurements of the polarization charge in SiC.”
“We describe a technology based on lamination that allows for the production of highly integrated 3D devices suitable for performing a wide variety of microfluidic

assays. This SNX-5422 solubility dmso approach uses a suite of microfluidic coupons (“”microfloupons”") that are intended to be stacked as needed to produce an assay of interest. Microfloupons may be manufactured in paper, plastic, gels, or other materials, in advance, by different manufacturers, then assembled by the assay designer as needed. To demonstrate this approach, we designed, assembled, and characterized a microfloupon device that performs sodium-dodecyl-sulfate polyacrylamide gel electrophoresis on a small sample of protein. This device allowed for the manipulation and transport of small amounts of protein sample, tight injection into a thin polyacrylamide gel, electrophoretic separation of the proteins into bands, and subsequent removal of the gel from the device for imaging and further analysis. The microfloupons are rugged enough to handle and can be easily aligned and laminated, allowing for a variety of different assays to be designed and configured by selecting appropriate microfloupons.

This systematic review evaluates the effectiveness of lifestyle i

This systematic review evaluates the effectiveness of lifestyle interventions aimed at reducing postpartum weight retention. Seven electronic databases were searched for intervention studies HIF inhibitor review and trials enrolling women with singleton pregnancies and published in English from January 1990 to October 2012. Studies were included when postpartum weight was a main outcome and when diet

and/or exercise and/or weight monitoring were intervention components. No limitations were placed on age, body mass index or parity. Eleven studies were identified as eligible for inclusion in this review, of which 10 were randomized controlled trials. Seven studies were successful in decreasing postpartum weight retention, six of which included both dietary and physical activity components, incorporated via a range of methods and delivered by a variety of health practitioners. Few studies utilized

modern technologies as alternatives to traditional face-to-face support and cost-effectiveness was not assessed in any of the studies. These results suggest that postpartum weight loss is achievable, which may form an important EVP4593 concentration component of obesity prevention in mothers; however, the optimal setting, delivery, intervention length and recruitment approach remains unclear.”
“Vogt-Koyanagi-Harada disease is characterized by marked bilateral uveitis associated with symmetric vitiligo, alopecia, poliosis and dysacousia. Linear immunoglobulin (Ig)A bullous dermatosis (LABD) is characterized by small, tense, subepidermal bullae caused by IgA type autoantibody targeting the basal lamina. LABD patients sometimes show coexistence of IgG type autoantibody, termed linear KPT-8602 nmr IgA/IgG bullous dermatosis (LAGBD). We reported a 35-year-old Japanese male case of combined LAGBD and Vogt-Koyanagi-Harada

disease. His human leukocyte antigen typing was) -A24, B52, C(star)1202, DR(star)1502, DQ(star)0601. Immunoblot revealed that patient sera reacted to both 180- and 230-kDa proteins at the IgA and IgG level. Because Vogt-Koyanagi-Harada disease and LABD are reported to be associated with other autoimmune diseases, it is probable that Vogt-Koyanagi-Harada disease and LAGBD in our case may be associated with each other in the pathomechanism. However, we cannot exclude the possibility of this being mere coincidence.”
“4-Pentafluorophenoxy-, 4-nitro-, and 4-chloropentafluorocyclohexa-2,5-dien-1-ones and 3,4,5-tris-(pentafluorophenoxy)trifluorocyclohexa-2,5-dien-1-one react with some benzonitrile and acetonitrile oxides exclusively at the carbonyl group, leading to the formation of mixtures of diastereoisomeric fluorinated 1,4-dioxa-2-azaspiro[4.5]deca-2,6,9-trienes in good yield.

These mutations are known to be associated with variations in pla

These mutations are known to be associated with variations in plasma MBL levels. Genotype frequencies were estimated by AZD8186 gene counting and were compared to the expectation of Hardy-Weinberg equilibrium by chi-squared (X (2)) analysis and Fisher’s exact test. Allele and genotype frequencies were compared in cases and controls using X (2) contingency table analysis.

There was no difference

in demographics between cases and controls. The number of miscarriages in the participants with RPL ranged from 2 to 10 spontaneous abortions (SAB’s) per participant. Populations genotyped were in Hardy-Weinberg equilibrium. There was no association between a history of RPL and multi-SNP genotypes at the MBL locus. In unexplained RPL, the number of SAB’s and live birth rates were unaffected by MBL genotype. There was no association between MBL genotype and the risk of unexplained RPL.

The occurrence of live birth was not associated with MBL genotype.

Genotypes known to cause low MBL plasma levels are not associated with an increased risk of unexplained RPL.”
“Background: This study aimed to evaluate the reliability and validity of two self-report physical activity (PA) questionnaires – the AQuAA (Activity Questionnaire for Adults and Adolescents) and PASE (Physical Activity Scale for the Elderly) – in cancer patients.

Methods: Test-retest reliability was determined by administering the questionnaires twice within 5 days. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and smallest C188-9 research buy detectable difference (SDD) were calculated. Construct validity was determined by comparing the questionnaire results with ActiGraph accelerometer scores using Spearman correlation coefficients (r(s)) and ICCs. Content validity was examined using the Three-Step Test-Interview (TSTI).

Results: Reliability for the AQuAA scores were fair to excellent (ICC = 0.57 to 0.78). Reliability for the PASE scores ranged from good to excellent (ICC = 0.67 to 0.90).

Correlations between the ActiGraph and the AQuAA and the PASE were low (r(s) = 0.05 and 0.16 respectively, and ICC = -0.001 to 0.44). The TSTI showed that participants experienced difficulties with the examples provided with the questions, the perceptions selleckchem of intensity level of PA, and with recalling the time spent on PA.

Conclusions: Both questionnaires showed good to excellent test-retest reliability for most scores. Construct validity of both questionnaires was low, as indicated by the low correlations with the ActiGraph. Except for a few difficulties that participants perceived when filling out the questionnaires, the content validity of both questionnaires was good.”
“In the present study, we investigated the histological, immunohistochemical and ultrastructural characteristics of cytoplasmic blood plasma inclusions that spontaneously occurred in a rat liver.

The present study was done to determine if the pPVT is involved i

The present study was done to determine if the pPVT is involved in the expression of fear by examining the effect of post conditioning lesions of the pPVT. Male rats were trained to bar press for food pellets on a variable ratio schedule. Fear conditioning was done using auditory tones (30 s) that co-terminate with footschocks (0.65 mA, 1.0 s). Rats were anesthetized 24 h later and small bilateral electrolytic lesions of the pPVT were made.

Fear expression to the tone was assessed using suppression of bar-pressing click here and freezing after one week of recovery from the surgical procedure. Small bilateral lesions of the pPVT increased bar-pressing for food and decreased freezing during the presentation of the conditioned tone. Lesions of the pPVT had no effect on fear extinction, fear conditioning to a novel tone, or the motivation for food as assessed using a progressive ratio (PR) schedule. The results of the experiment support a role for the pPVT in 3-MA fear expression. In contrast, the pPVT does not appear to be involved in fear learning or extinction nor does it appear to play a role in the motivation of rats to bar press for food.”
“In Kenya and Kazakhstan, integration of human immunodeficiency virus (HIV) testing results into

the routine surveillance of multidrug-resistant tuberculosis (MDR-TB) proved feasible and useful. The integration process improved overall data quality and data validation capacity, and integrated data are a useful addition to routine cohort and treatment outcome data. Besides their importance selleck chemical for individual patient care, they provide trends on the association of MDR-TB and HIV in the routine programme setting. They also form a useful epidemiological basis for more specific studies, such as on nosocomial outbreaks. Whether the system itself

is sensitive enough to monitor possible outbreaks needs further investigation.”
“Background: Before considering whether to use a multivariable (diagnostic or prognostic) prediction model, it is essential that its performance be evaluated in data that were not used to develop the model (referred to as external validation). We critically appraised the methodological conduct and reporting of external validation studies of multivariable prediction models.

Methods: We conducted a systematic review of articles describing some form of external validation of one or more multivariable prediction models indexed in PubMed core clinical journals published in 2010. Study data were extracted in duplicate on design, sample size, handling of missing data, reference to the original study developing the prediction models and predictive performance measures.

Results: 11,826 articles were identified and 78 were included for full review, which described the evaluation of 120 prediction models. in participant data that were not used to develop the model.

The microwave behavior model for the microcavity laser is used to

The microwave behavior model for the microcavity laser is used to estimate the enhanced recombination and reduced selleck chemical lifetime. (C) 2011 American Institute of Physics. [doi:10.1063/1.3553876]“
“Purpose: To determine the effect of a computerized radiology order entry system rule that prevented nonclinician support staff from completing

orders for outpatient computed tomographic, magnetic resonance imaging, and nuclear medicine examinations that received initial low-yield decision support scores in the order entry system.

Materials and Methods: This retrospective HIPAA-compliant study was approved by the institutional review board; the requirement for informed consent was waived. The control group consisted of 42 737 consecutive orders for examinations in which decision support was provided that were placed from April to December 2006. The study group consisted of 76 238 consecutive

orders that were placed from April to December 2007. During the latter time period, a new rule in the order entry system was implemented: Examinations that AZD9291 inhibitor had low-yield decision support scores could not be scheduled when the orders were placed by nonclinician support staff. To schedule the blocked examinations, the responsible clinician was required to personally log in to complete the process. System event logs and records of outpatient imaging procedures were extracted, counted, and analyzed to determine which ordering sessions resulted in examinations being scheduled and performed and which sessions resulted in modified or cancelled examinations. Results were correlated

with user status and decision support scores. The Cochran-Mantel-Haenszel technique was used to control for the status of the order initiator and to allow testing for significance of the effect of the intervention on the “”fate”" of ordering events.

Results: After the intervention, the proportion of total examination requests initiated by clinicians directly logging in almost doubled: from 11 243 (26.31%) of 42 737 to 41 450 (54.37%) of 76 238 examinations (P < .001). The fraction of low-yield (decision support score, 1-3) examinations requested through the order entry system that were later scheduled and performed decreased from 2106 (5.43%) of 38 801 to 1261 (1.92%) of 65 765 (P < .001). This is buy IWR-1-endo in contrast to requests for examinations with higher initial decision support scores that were not affected by the policy change and were scheduled at the same rate (relative risk, 0.988) before and after the change.

Conclusion: A simple change in the business logic of the order entry system resulted in a substantially decreased rate of low-yield imaging examinations and a markedly increased percentage of tests personally ordered by clinicians.”
“Staphylococcus aureus is one of the main etiological agents of mastitis in different mammalian species.

Among these indices, the lifetime of peroxide is a good index for

Among these indices, the lifetime of peroxide is a good index for crosslinking behavior of PLLA during extrusion. As for the isothermal crystallization behavior from the melt, the Avrami crystallization rate constant of chi-PLLA increases as an increase of LCB-PLLA content in chi-PLLA. This implies that LCB-PLLA acts as a nucleating agent for PLLA. Furthermore, regime analysis and the free energy of nucleus of chi-PLLA were investigated using

Hoffman-Lauritzen theory. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 123: 1468-1478, 2012″
“PURPOSE: To evaluate 3 approaches, both cellular and acellular, to improve the healing of laser in situ keratomileusis flaps in bovine corneas.

SETTING: JQ1 mw School of Optometry and Vision Sciences and Cardiff Institute of Tissue Engineering and Repair, Cardiff University, Cardiff, United Kingdom.

DESIGN: Experimental study.

METHODS: Laser in situ keratomileusis like flaps were created in bovine corneas, Rigosertib solubility dmso and the flap bed was treated with tumor necrosis factor-alpha, interleukin-1 alpha, Fas ligand, transforming growth factor-beta(1), or activated stromal fibroblasts. In separate experiments, flaps were created and repositioned. The corneas were then crosslinked using ultraviolet-A (UVA) light. All samples were then placed

in organ culture for up to 4 weeks. Untreated samples acted as controls.

RESULTS: All treatments increased the adherence of the stromal flap. This was achieved at the expense of corneal clarity except in the case of crosslinking (CXL). In this case, the flap adhesion force immediately increased while the cornea remained clear. The force then decreased

gradually during organ culture, although it remained at twice the level of the control corneas after 3 weeks in culture.

CONCLUSIONS: The results suggest that riboflavin UVA CXL is a hopeful approach for increasing the adherence strength of corneal flaps while keeping the cornea clear. Further studies are necessary to confirm the durability of the strengthening effect and to exclude serious late complications.”
“Chorea MK-4827 is a common movement disorder that can be caused by a large variety of structural, neurochemical (including pharmacologic), or metabolic disturbances to basal ganglia function, indicating the vulnerability of this brain region. The diagnosis is rarely indicated by the simple phenotypic appearance of chorea, and can be challenging, with many patients remaining undiagnosed. Clues to diagnosis may be found in the patient’s family or medical history, on neurologic examination, or upon laboratory testing and neuroimaging. Increasingly, advances in genetic medicine are identifying new disorders and expanding the phenotype of recognized conditions.

7 x 10(-6) m(2) s(-1) (C) 2010 Elsevier B V All rights reserved

7 x 10(-6) m(2) s(-1). (C) 2010 Elsevier B.V. All rights reserved.”
“We study the temperature and magnetic field-dependent photoluminescence from the metalorganic molecules octaethyl-porphine platinum (PtOEP) and porphine platinum (PtP) that are doped into organic hosts. We first consider PtOEP in the polymer host poly-dioctylfluorene (PFO), which is characteristic of the phosphorescent dopants and polymers used in organic light-emitting diodes. We observe that the

intensity of the PtOEP zero-phonon emission band, which is strongly suppressed at low temperatures to 1.6 K, increases dramatically with applied magnetic field and is accompanied by a marked circular polarization. This “”magnetic brightening”" effect, similar to that IWR-1-endo mouse observed in other organic systems such as carbon nanotubes, highlights the interplay between low-energy optically active and optically forbidden excited states of PtOEP, which become mixed in applied magnetic fields. To elucidate these findings, we also investigate (i) dilute PtOEP in n-octane hosts

(where emission lines are much sharper), and (ii) dilute PtP in n-octane hosts, for which the emission spectra are simpler and can be directly compared with theory. Detailed electronic structure calculations of PtP were performed, and a model for the magnetic field and temperature dependence of the zero phonon emission lines is developed, which agrees quantitatively with the data for PtP and with

the circular polarization of the PtOEP emission. (C) 2011 American Institute of Physics. Staurosporine in vitro [doi: 10.1063/1.3569584]“
“The www.selleckchem.com/CDK.html aim of this study is to characterize the physical and mechanical properties of HDPE-alumina-HAp composites prepared by injection molding techniques and to demonstrate their superiority over unreinforced HDPE. Composites with up to 30 vol. % of filler, composed of equal volumes of HAp and alumina, were successfully processed by injection molding. On the basis of the analysis of processing results, i.e., melt viscosity, volume flow rate, shear rate, mixing torque, the critical ceramic loading was determined. Tensile tests done at varying crosshead speeds confirm that an increase in ceramic loading results in an increase in strength, as well as a simultaneous decrease in the total elongation at failure. A maximum strength of 20 MPa and a maximum tensile modulus of around 1 GPa was achieved with 30 vol % ceramic loading in semicrystalline HDPE matrix. SEVNB test results demonstrate an improvement in toughness at 20 vol %. The fracture properties are discussed in terms of interfacial bonding between ceramic fillers and the semicrystalline HDPE matrix. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 121: 2500-2511, 2011″
“Mycophenolic acid (MPA) is a secondary metabolite produced by Penicillium brevicompactum, which has antibiotic and immunosuppressive properties. In this study, production of MPA by P.

Conclusions

Conclusions. AS1842856 supplier Severe or morbid obesity were associated with an increased risk of adverse perinatal outcome and mortality and should be managed as high-risk pregnancies.”
“Both

arsenic pollution and eutrophication are prominent environmental issues when considering the problem of global water pollution. It is important to reveal the effects of arsenic species on cyanobacterial growth and toxin yields to assess ecological risk of arsenic pollution or at least understand naturally occurring blooms. The sensitivity of cyanobacteria to arsenate has often been linked to the structural similarities of arsenate and phosphate. Thus, we approached the effect of arsenate with concentrations from 10(-8) to 10(-4) M on Microcystis strain PCC7806 under various phosphate regimes. The present study showed that Microcystis strain PCC7806 was arsenate tolerant up to 10(-4) M. And such tolerance was without reference to both content of intra- and extra-cellular phosphate. It seems that arsenate involved the regulation of microcystin synthesis and cellular polyphosphate contributed to microcystin production of Microcystis responding to arsenate, since there was a positive linear correlation of the cellular microcystin quota with the exposure concentration of arsenate when

the cells were not preconditioned to phosphate starvation. It is presumed PF-03084014 order that arsenate could help to actively export microcystins from living Microcystis cells when preconditioned to phosphate starvation and incubated with the medium containing 1 mu M phosphate. This study firstly provided evidence that microcystin content and/or release of Microcystis might be impacted by arsenate if it exists in harmful algal blooms. (C) 2008 Wiley Periodicals, Inc.

Environ Toxicol 24:97 94, 2009.”
“After a recent practice change implementing amniocentesis into the evaluation of preterm labor Bafilomycin A1 in vitro (PTL) or preterm premature rupture of membranes (PPROM), actual performance of the procedure was tracked. Fifty-nine patients were admitted with these diagnoses. Twenty-three patients (39%) were offered amniocentesis and 36 patients (61%) were not offered amniocentesis as part of the clinical protocol. Seven (30%) patients of those offered an amniocentesis underwent the procedure. The predominant reasons for not performing an amniocentesis were patient refusal and provider discomfort. In conclusion, implementation of amniocentesis to evaluate for subclinical infection/inflammation in the setting of PTL or PPROM proved difficult, as only 7 of 59 (11.9%) patients admitted with these diagnoses actually received an amniocentesis.”
“The thyroid hormone (L-triiodothyronine (T-3), thyroxine (T-4)) plays a critical role in cerebellar development.

A decrease in HR and heart weight was observed in caloric-restric

A decrease in HR and heart weight was observed in caloric-restricted groups. Sleeve-gastrectomized rats not only exhibited a reduction in HR (a dagger HR = -45 +/- 19 bpm) but also in SBP values (a dagger SBP = -22 +/- 10 mmHg) compared to the DIO rats (a dagger SBP = 14 +/- 8 mmHg).

Our findings provide evidence that the beneficial effects of sleeve gastrectomy on blood pressure values are beyond weight loss in rats with diet-induced

obesity.”
“The investigation of an acetone extract of whole Euphorbia sapinii led to the isolation of eighteen terpenoids among which lanost-24-en-20-ol-3-tetradecanoate (1), euphorbol-7-one (2) are new while spectroscopic data of 30-nor-hopan-3 beta-ol-22-one (3) are reported for the first time. The structures of all compounds were determined using 1D, 2D NMR and MS techniques. (C) 2011 Phytochemical Society of Europe. Published click here by Elsevier B.V. All rights reserved.”
“OBJECTIVE: To evaluate the functional and radiographic results

in patients undergoing shoulder anterior soft tissue stretching in association with open reduction and internal rotation osteotomy to centralize the humeral head as a treatment for Erb-Duchenne obstetric palsy sequelae.

METHOD: A total of 35 patients underwent this surgical treatment, and the mean follow-up was 4.6 years. The Mallet scale was applied before and after the surgical procedure. A total of 20 patients underwent computed tomography to assess the KPT-8602 nmr glenoid version and humeral head

subluxation.

RESULTS: Functional improvement was achieved, as evidenced by an increase in the Mallet scale score from 12.14 to 16.46 (p<0.001). The correction of retroversion was achieved once the glenoid version ranged from 21.4 to – 12 degrees (p<0.001). The humeral head subluxation improved from 6.5 to 35.2% this website (p<0.001). Patients older than 6 years of age did not achieve glenohumeral joint improvement with respect to dysplastic abnormalities.

CONCLUSION: Internal rotation osteotomy in association with the stretching of anterior soft tissues of the shoulder in patients under the age of 7 years provided improvements in the function, retroversion, and subluxation of the glenohumeral joint.”
“Background: National guidelines recommend dysphagia screening (DS) before oral intake in stroke patients to reduce hospital-acquired pneumonia (HAP). We examined the relationship between DS and HAP after ischemic stroke. Methods: Get with the Guidelines-Stroke defines HAP as postadmission diagnosis of pneumonia requiring antibiotics, and DS as the use of bedside swallow screening prior to oral intake. Univariable and multivariable analyses examined the relationship between DS and HAP. Results: Among 314,007 ischemic stroke patients at 1244 Get with the Guidelines-Stroke hospitals from 2003-2009 who were eligible for DS and had completed HAP data, a total of 216,372 (68.9%) underwent DS and a total of 17,906 (5.7%) developed HAP.