Restrictive allograft syndrome (RAS) was defined as CLAD meeting

Restrictive allograft syndrome (RAS) was defined as CLAD meeting this CX-6258 nmr threshold. BOS was defined as CLAD without RAS.

To estimate the effect on survival, Cox proportional hazards models and Kaplan-Meier analyses were used.

RESULTS: Among 468 patients, CLAD developed in 156; of those, 47 (30%) showed the RAS phenotype. Compared with the 109 BUS patients, RAS patients showed significant computed tomography findings of interstitial lung disease (p < 0.0001). Prevalence of RAS was approximately 25% to 35% of all CLAD over time. Patient survival of RAS was significantly worse than BOS after CLAD onset (median survival, 541 vs 1,421 days; p = 0.0003). The RAS phenotype was the most significant risk factor of death among other variables after CLAD onset (hazard ratio, 1.60; confidential interval, 1.23-2.07).

CONCLUSIONS: RAS is a novel form of CLAD that exhibits characteristics of peripheral lung fibrosis and significantly affects survival of lung transplant patients. J Heart Lung Transplant 2011;30:735-42 (C) 2011 International Society for Heart and Lung Transplantation. All rights reserved.”
“Background: The design of dietary, metabolic, and intervention studies should reflect the

meal patterning of free-living individuals, but this design has not been systematically reviewed recently.

Objective: Our objective was to examine meal-patterning trends [meals and snacks, termed eating occasions (EOs)] in a sample of US children and adults.

Design: This was a nationally representative cross-sectional study of US data sets from 1977 to 1978, 1994 to 1998, and 2003 to 2006 in 28,404 BTSA1 purchase children (2-18 y of age) and 36,846 adults (>= 19 y of age). The main outcomes of interest selleck kinase inhibitor included the number and size (energy/d) of meal and snack EOs, the composition (food or beverage) of each EO, and the time interval between each EO.

Results: The number of EOs increased over the previous 30 y among all ages. For adults and children, the change in the number of EOs from 1977 to 2006 was greatest for those in the 75th and

90th percentiles, although the mean number increased across all percentiles. Energy intake, particularly from snacking, increased for both groups in all percentiles of the distribution. The time between EOs decreased by 1 h for adults and children (to 3.0 and 3.5 h in 2003-2006, respectively). Overwhelmingly, meals consisted of both food and beverages, but the percentage of snacking occasions that consisted of beverages only increased considerably among children.

Conclusions: US children and adults are consuming foods more frequently throughout the day than they did 30 y ago. Researchers undertaking future clinical, preload, and related food studies need to consider these marked shifts as they attempt to design their research to fit the reality of the eating patterns of free-living individuals. Am J Clin Nutr 2010;91:1342-7.

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