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https://www.selleckchem.com/products/bb-94.html tion-to-treat analysis, such change did not achieve statistical significance (P = 0.110). Only treatment comparisons made among the subgroups that participated in (P = 0.033) and completed (P = 0.018) the program achieved statistical significance. There were no differences in clinical events. Worse Fried score trajectory along follow-up increased mortality risk (hazard ratio [HR] = 2.38, 95% confidence interval [CI] 1.24-4.55, P = 0.009) CONCLUSIONS Recruitment and retention for a physical program in older adult patients with frailty after myocardial infarction was challenging. Frailty status improved in the subgroup that participated in the program, although this benefit was attenuated after shifting to a home-based program. A better frailty trajectory might influence midterm prognosis. (ClinicalTrials.govNCT02715453). The aim of the study is to determine if barium esophagram (BE) alone is sufficient to diagnose esophageal dysmotility when compared to the gold standard, high-resolution manometry (HRM). This is a retrospective review of patients that underwent laparoscopic fundoplication by two surgeons at a single institution from 10/1/2015-6/29/2019. Patients with large paraesophageal hernias and patients without both BE and HRM were excluded. Forty-six patients met the inclusion criteria. BE was found to be concordant with HRM for esophageal motility in only 21 patients (46%). Setting HRM as the gold standard, BE had a sensitivity of 14% (95% CI 5%-35%), specificity of 72% (95% CI 52%-86%), PPV of 30% (95% CI 11%-60%), and NPV of 50% (95% CI 35%-66%). The accuracy was 46%, while a McNemar test showed p=0.028. Traditional BE should not be used in place of HRM for assessing pre-operative motility in patients undergoing anti-reflux surgery. Traditional BE should not be used in place of HRM for assessing pre-operative motility in patients undergoing anti-reflux surgery.Advances in technology, methodology, and deep pheno

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