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Methodology:?PS conditions were selected from the GS SET curriculum and a survey distributed via email to Queensland GS trainees. Data collected included training demographics, experiences of and http://www.selleck.cn/products/cobimetinib-gdc-0973-rg7420.html confidence in managing PS conditions, and consultant practice intentions. Results:?More than half of respondents intend a consultant practice outside major metropolitan hospitals, and most expect this practice will include paediatric patients. Most trainees have never completed PS rotations. Trainees were more likely to have seen and treated acute PS conditions, and felt confident in assessing these conditions. Exposure to and confidence in managing elective conditions was less. Trainees were more inclined to be involved in PS patient management in time-critical conditions or if there were long transfer times/distances, and less inclined to treat younger patients or those with co-morbidities. Trainees felt that the GS training program contained too little exposure to and teaching of PS. Conclusion:?Current Queensland General Surgery trainees have limited exposure to and teaching of PS during their training. Further education is recommended before they can safely play a significant role in the management of paediatric surgical http://www.selleckchem.com/products/ganetespib-sta-9090.html patients, particularly in non-metropolitan settings. Sidharth Trivedi, Jason Robertson, Mattias Soop and Lindsay Plank University of Auckland, Auckland, New Zealand Purpose:?Significant loss of lean body mass occurs after surgery in both traditional and enhanced-recovery care. Neutron activation analysis (NAA) is the most direct measure of total body protein (TBP) content. Several studies from this laboratory have quantified postoperative changes in TBP. To identify determinants of TBP change, a multivariable analysis was undertaken on pooled data. Methods:?All patients undergoing major abdominal surgery and studied by NAA before and the second week after surgery were included. Body composition data was collected prospectively and clinical http://www.selleckchem.com/products/poziotinib-hm781-36b.html data was collated retrospectively from patient records. Results:?Data were available on 185 patients, age 54 (sd 18), ASA class I:II:III 27:118:40, duration of surgery 208 (sd 101) min, mean number of transfusions 1.4 (sd 2.1) and 28% had an epidural > 48?h. Eighty-seven patients had complications (grades I:II:III:IV 7:45:32:3). Total body protein decreased from 9.00 (2.44) kg to 8.49 (2.23) kg after surgery (P