1 degrees. The mean Constant score improved from 28.0 points to 74.3

points in shoulders in which the teres minor muscle was normal before the surgery, and it improved from 20.8 to 54.6 points in shoulders with an atrophic teres minor muscle. Scapular notching was observed in ten of the eighteen shoulders. A fracture involving the acromion, acromial spine, coracoid, or greater tuberosity was observed either intraoperatively or postoperatively in four of the eighteen shoulders. One case of transient axillary nerve injury was noted. There were no cases of dislocation, infection, or component loosening. None of the patients required revision surgery for any reason.

Conclusions: Comparatively good outcomes were observed in the short to intermediate term after reverse shoulder arthroplasty in patients with rheumatoid arthritis. However, surgeons should buy THZ1 be aware of the risk of intraoperative and postoperative fractures in this patient group.”
“The amorphous chalcogenide glass Sn1As20S79 is demonstrated to undergo permanent changes in refractive index on irradiation with ultraviolet light. The refractive properties of

this material and the effect Navitoclax purchase of annealing at temperatures below the glass transition temperature are investigated in detail. An Sn1As20S79 strip waveguide is fabricated using this photoinduced refractive index change, and the device is shown to function as expected with good propagation characteristics for the 632.8 nm guided mode. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3120864]“
“SETTING: There are currently no routine screening procedures Stattic for active tuberculosis (TB) or latent tuberculous infection (LTBI) in Malaysian prisons.

OBJECTIVE: To determine the prevalence and correlates of LTBI and active TB symptoms among Malaysian prisoners

with and without human immunodeficiency virus (HIV) infection using the tuberculin skin test (TST) and the World Health Organization TB symptom-based screening instrument.

DESIGN: A cross-sectional survey of 266 prisoners was performed in Kelantan, Malaysia. Consenting participants underwent two-step TST and were screened for active TB symptoms. Standardized cut-offs of respectively,>= 5 and >= 10 mm were used to define reactive TST among prisoners with and without HIV. Clinical and behavioral data were assessed and HIV-infected prisoners were stratified by CD4 status.

RESULTS: Overall LTBI prevalence was 87.6%, with significantly lower TST reactivity among HIV-infected than non-HIV-infected prisoners (83.6% vs. 91.5%, P < 0.05); however, TB symptoms were similar (16.9% vs. 10.1%, P = 0.105). On multivariate analysis, previous incarceration (aOR 4.61, 95 %CI 1.76-12.1) was the only significant correlate of LTBI. Increasing age (aOR 1.07, 95% CI 1.01-1.13), lower body mass index (aOR 0.82, 95%CI 0.70-0.96) and TST-reactive status (aOR 3.46, 95%CI 1.20-9.97) were correlated with TB symptoms.