Risk stratification and diagnostic evaluation of patients found to have microscopic hematuria by their primary care providers.

Background: Our goal was to identify, and risk stratify primary care patients with microscopic hematuria (MH), describe the diagnostic evaluations they received, and determine whether the evaluations were consistent with the recommendations of the 2020 AUA/SUFU microscopic hematuria guidelines.

Methods: A retrospective review of patients presenting to primary care clinics with a diagnosis of MH was performed. The patient risk category was determined based on the 2020 AUA/SUFU guidelines.

Can flow proneness be protective against mental and cardiovascular health problems? A genetically informed prospective cohort study.

Flow is a phenomenon where one experiences optimal challenge, marked by an intense, effortless, and rewarding concentration on a task. Past research shows that flow proneness is associated with good mental and cardiovascular health. However, this research has been primarily cross-sectional, based on self-report data, and has not controlled for potential confounding effects of neuroticism.

Moderately-differentiated Ovarian Sertoli-Leydig Cell Tumor With a Concurrent Serous Borderline Tumor in a 16-year-old Girl.

Sertoli-Leydig cell tumors (SLCT) are rare tumors of the ovary with a peak incidence in the second to third decade of life. Serous borderline tumors (SBT) are epithelial ovarian neoplasms which occur at a median age of 50 years. A co-occurrence of SLCT and SBT has not yet been reported.

Financial Abuse of Older Adults: Screening, Prevention, and Interventions by Primary Care Providers.

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.

Microplastics Differ Between Indoor and Outdoor Air Masses: Insights from Multiple Microscopy Methodologies.

The abundance and distribution of microplastic (<5 mm) has become a growing concern, particularly over the past decade. Research to date has focused on water, soil, and organism matrices but generally disregarded air. We explored airborne microplastic inside and outside of buildings in coastal California by filtering known volumes of air through glass fiber filters, which were then subsequently characterized with a variety of microscopy techniques: gross traditional microscopy, fluorescent microscopy following staining with Nile red, micro-Raman spectroscopy, and micro-Fourier transform infrared (µFT-IR) spectroscopy.

Nano- and micro-materials in the treatment of internal bleeding and uncontrolled hemorrhage.

Internal bleeding is defined as the loss of blood that occurs inside of a body cavity. After a traumatic injury, hemorrhage accounts for over 35% of pre-hospital deaths and 40% of deaths within the first 24 hours. Coagulopathy, a disorder in which the blood is not able to properly form clots, typically develops after traumatic injury and results in a higher rate of mortality.

Light based technologies for microbial inactivation of liquids, bead surfaces and powdered infant formula.

This study evaluates the potential of continuous wave Ultraviolet C light (UV-C) and broad-spectrum intense pulsed light (in this study referred to as High Intensity Light Pulses, HILP) for the inactivation of pathogens of public concern in powdered infant formula (PIF) producers. To achieve this goal a sequential set of experiments were performed, firstly in clear liquid media, secondly on the surface of spherical beads under agitation and, finally in PIF. L.

Deletion of liaR Reverses Daptomycin Resistance in Enterococcus faecium Independent of the Genetic Background.

We have shown previously that changes in LiaFSR, a three-component regulatory system predicted to orchestrate the cell membrane stress response, are important mediators of daptomycin (DAP) resistance in enterococci. Indeed, deletion of the gene encoding the response regulator LiaR in a clinical strain of Enterococcus faecalis reversed DAP resistance (DAP-R) and produced a strain hypersusceptible to antimicrobial peptides. Since LiaFSR is conserved in Enterococcus faecium, we investigated the role of LiaR in a variety of clinical E.

Recent applications of hyperspectral imaging in microbiology.

Hyperspectral chemical imaging (HSI) is a broad term encompassing spatially resolved spectral data obtained through a variety of modalities (e.g. Raman scattering, Fourier transform infrared microscopy, fluorescence and near-infrared chemical imaging).

Identification of Lactobacillus strains with probiotic features from the bottlenose dolphin (Tursiops truncatus).

Aims: In order to develop complementary health management strategies for marine mammals, we used culture-based and culture-independent approaches to identify gastrointestinal lactobacilli of the common bottlenose dolphin, Tursiops truncatus.

Methods And Results: We screened 307 bacterial isolates from oral and rectal swabs, milk and gastric fluid, collected from 38 dolphins in the U.S.

Hyperspectral imaging for non-contact analysis of forensic traces.

Hyperspectral imaging (HSI) integrates conventional imaging and spectroscopy, to obtain both spatial and spectral information from a specimen. This technique enables investigators to analyze the chemical composition of traces and simultaneously visualize their spatial distribution. HSI offers significant potential for the detection, visualization, identification and age estimation of forensic traces.

Prediction of polyphenol oxidase activity using visible near-infrared hyperspectral imaging on mushroom (Agaricus bisporus) caps.

Physical stress (i.e., bruising) during harvesting, handling, and transportation triggers enzymatic discoloration of mushrooms, a common and detrimental phenomenon largely mediated by polyphenol oxidase (PPO) enzymes.

Use of circumflex scapular vessels as a recipient pedicle for autologous breast reconstruction: a report of 40 consecutive cases.

The use of the circumflex scapular pedicle as a recipient vessel for breast reconstruction in a series of 40 consecutive cases in 37 patients is reported. There were 3 bilateral reconstructions and 34 unilateral reconstructions. Twenty-one cases were immediate reconstructions, and 19 cases were secondary reconstructions.

Further studies on cyclic erythropoiesis in mice.

When young adult female W/Wv mice are given 0.5 micro+Ci 89Sr/g body weight intravenously, their hematocrit values oscillate from nadirs of 26% to zeniths of 42% with a periodicity of 16 days [1]. The response of the W/Wv mouse to an assortment of radioactive and hematologic stresses have been examined in an effort to understand better the pathophysiology of cyclic erythropoiesis.

Cyclic erythropoiesis in the S1/S1d mouse.

Previously we reported that when young adult female W/Wv mice are given 0.5 microCi strontium-89 per gram body weight IV, their hematocrit values oscillate from nadirs of 26% to zeniths of 42% with a periodicity of 16 days. We now report that a second strain of congenitally anemic female mice, the S1/ S1d , also exhibit large fluctuations in their hematocrit values following a dose of 0.

Cyclic erythropoiesis in W/Wv mice following a single small dose of 89Sr.

Young adult female W/Wv mice were given 0.5 microCi 89Sr/g intravenously, a dose which produces no anemia and only mild transient thrombocytopenia in normal mice. In the W/Wv animals platelet counts fell from 10(6) to 3 x 10(5)/mm3, and hematocrits from 39% to 25% in two weeks.

Developing a motivating organizational climate for effective team functioning.

In order to enhance team functioning and to prevent the development of back wards, an institution must have a climate that motivates both staff and patients. The author summarizes the current technology for developing a motivating organizational climate, and describes the introduction of motivation factors into the climate of a hospital. Subsequent changes in morale, motivation, and innovation affected every segment of the hospital population--administrators, lineworkers, and patients--as well as departments and wards.

The erythropoietic effect, in mice, of androgens combined with hypoxia.

Progressively higher levels of erythrocytosis were observed in female mice residing at simulated altitudes of 9, 12, and 18 thousand feet. Administration of testosterone enhanced red-cell production in female mice under all but the most severe hypoxic conditions. The spleen contributed to the extent of erythropoiesis produced by hypoxia and by the combination of hypoxia and androgen, but this extramedullary site of red-cell formation was not necessary for erythrocytosis to occur.