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Medical records, even electronic medical records are notoriously incomplete, this becomes especially apparent when going back and trying to extract data for analysis in the quasi experimental fashion of a retrospective review. The authors of this article even point out that this is a limitation of this data. Additionally, they too agree with Adam H in that the population is likely not very similar to the general population in that these are all patients who utilize the VA system. As a general surgeon who has performed many retrospective chart reviews I am well aware of the limitations of retrospective reviews. To definitively answer the question of whether or not bariatric operations can decrease mortality, a prospective randomized trial would need to be performed. Elligible patients would either be assigned to operation or no operation and followed prospectively. This is directly copied from the JAMA articleOur study is subject to several limitations. First, we focused on a cohort of older, predominantly male, sicker patients, so results may not generalize to nonveteran, younger, female, or healthier populations. It is possible that bariatric surgery reduces mortality for younger patients and not for older male patients, but we did not have sufficient sample size to examine whether the association varied across subgroups. Second, our study does not include patients who underwent laparoscopic banding procedures; thus, we cannot generalize our results to such patients. Third, the sample size was restricted in the 1:1 propensity matched analysis such that large CIs were generated, which cannot rule out that bariatric surgery provides clinically significant benefit or harm to some patients.

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Prerequisite: CHEMand 143 and CHEMand 153 grades of "C" or higher and concurrent enrollment in CHEMand 241 and CHEMand 251First of a 3 term laboratory sequence designed for science and engineering majors, or students seeking a career in the health professions. Focus on basic organic laboratory techniques such as recrystallizations, melting points, distillations, reflux, extractions, chromatography, and spectroscopy; laboratory notebook keeping skills and scientific writing methods. Prerequisite: CHEMand 241 and CHEMand 251 grades of "C" or higher and concurrent enrollment in CHEMand 242 and CHEMand 252Second of a 3 term laboratory sequence designed for science and engineering majors, or students seeking a career in the health professions. Focus on organic laboratory techniques, spectroscopic characterization of molecules, and introduction to synthetic techniques, including multi step syntheses and handling moisture or air sensitive compounds. Prerequisite: CHEMand 242 and CHEMand 252 grades of "C" or higher and concurrent enrollment in CHEMand 243 and CHEMand 253Third of a 3 term sequence designed for science and engineering majors, or students seeking careers in the health professions. Advanced synthetic techniques, project based experiments and identification. CHEMand 253 replaces CHEM 214 beginning in Spring 2009. Need help making a decision about your course format for fall?Review the recording of our Course Format Options webinar above and download the slide deck as you think through your options. Our Self Paced Online Course Design Sprint is a great opportunity to take your online teaching to the next level by incorporating evidence based practices and untilizing best practices. The Teach Anywhere Team is a collaboration between the OTL and CandIT with additional support from the Libraries. Our shared goal is to support faculty in making decisions and taking action to transition their courses to online or remote formats as smoothly as possible.