In accord with MDS criteria, 38% of this cohort demonstrated PD-MCI at baseline and 48% at follow-up. Of the 36 participants in the multiple-domain PD-MCI subtype at time-1, 9 (25%) demonstrated no PD-MCI at follow up. Analysis revealed that approximately 13% of the representative population would demonstrate abnormally low scores for BEZ235 mw 2 of the 9 tests used, thereby meeting MDS criteria for PD-MCI. Clinicians and researchers need to approach a single diagnosis (i.e., based on one assessment) of PD-MCI with considerable caution.”
“Background: The purpose of our study was to determine whether cervical preparation with laminaria tents would improve the procedure of second-

and third-trimester medical termination of pregnancy (TOP) in terms of duration of abortion and hospitalization.\n\nStudy: A retrospective comparative study of two historical periods of women undergoing second- and third-trimester medical TOP at a single tertiary care center from September 2004 to December 2006 was conducted. During Period A, patients learn more received oral mifepristone and vaginal misoprostol, while during Period

B, laminaria tents were added. Main outcome measures included initiation-to-delivery (ITD) time induction-to-delivery interval and hospitalization time.\n\nResults: Of 186 eligible women, 174 were enrolled in the study: 91 patients during Period A and 93 patients during Period B. The ITD time was reduced during Period B compared to Period A (43.2 +/- 6.2 h and SNS-032 mouse 48.5 +/- 13.2 h, respectively; p=.001). Similarly, the induction-to-delivery interval was significantly shorter during Period B (7.5 h) compared to Period A (12.7 h; p=.001). A significant

reduction in total hospital stay was observed during Period B (3 days) versus Period A (4 days; p<.001).\n\nConclusion: Cervical preparation with laminaria tents significantly shortens the duration of medical TOP that uses mifepristone-misoprostol without adverse events or serious complications. (C) 2009 Elsevier Inc. All rights reserved.”
“Background The incidence of multiple basal cell carcinomas (BCCs) is not well documented.\n\nObjectives To calculate the cumulative risks, rates and risk factors for the development of subsequent histologically confirmed BCCs.\n\nMethods For this cohort study the Dutch nationwide network and registry of histopathology and cytopathology (PALGA) was used. The first 2483 patients diagnosed with a first histologically confirmed BCC in the year 2004 were followed for 5 years. Multifailure survival models were used to study whether gender or age affected the risk of developing subsequent tumours.\n\nResults During our observational period, the 2483 patients developed a total of 3793 histologically confirmed BCCs. The 5-year cumulative risk of developing one or more subsequent BCCs was 29.2%. Incidence rates were 25 318 per 100 000 person-years in the first 6 months after first BCC diagnosis, decreasing to 6953 per 100 000 person-years after 5 years of follow-up.