The role of copy and paste function in orthopedic trauma progress notes.

Introduction: The electronic medical record (EMR) is standard in institutions. While there is not concern for legibility of notes and access to charts, there is an ease of copy and paste for daily notes. This may not lead to accurate portrayal of patient's status.

Drosophila muller f elements maintain a distinct set of genomic properties over 40 million years of evolution.

The Muller F element (4.2 Mb, ~80 protein-coding genes) is an unusual autosome of Drosophila melanogaster; it is mostly heterochromatic with a low recombination rate. To investigate how these properties impact the evolution of repeats and genes, we manually improved the sequence and annotated the genes on the D.

A pilot study to investigate the effect of plate size on meal energy intake in normal weight and overweight/obese women.

Background: Smaller plates are often recommended as a strategy for controlling energy intake; however, the effect of plate size on meal energy intake in normal weight compared to overweight or obese individuals is not known. The present study aimed to investigate this further.

Methods: Ten normal weight [mean (SD) body mass index, 21.

Pilot fatigue survey: exploring fatigue factors in air medical operations.

Introduction: Humans confront significant physiological challenges with sleep and alertness when working in 24/7 operations.

Methods: A web-based national survey of air medical pilots examined issues relevant to fatigue and sleep management.

Results: Six hundred ninety-seven responses were received, with a majority of rotor wing pilots working 3/3/7 and 7/7 duty schedules.

Discovering the elusive underlying cause of a bilateral effusion combined with ascites.

A 77-year-old Asian man presented to the emergency department with bilateral pleural effusion and ascites accompanied with generalized weakness, dyspnea, tachycardia, and tachypnea. After an extensive workup that ruled out heart failure, pulmonary embolism, pneumonia, and malignancy-including extensive laboratory tests, electrocardiograms, chest x-ray, computed tomographic angiogram, computed tomography scans of the abdomen and pelvis, colonoscopy, thoracentesis, paracentesis, and exploratory laparoscopy-an elusive peritoneal tuberculosis was successfully identified. This case suggests that clinicians should consider extrapulmonary tuberculosis in their practice, given increasing immigration and the variety of populations present in our society.

Laboratory diagnosis of bone, joint, soft-tissue, and skin infections.

The diagnosis of infections of bones, joints, skin, and soft-tissues requires the combined use of a number of laboratory and pathology tests. The diagnosis of most infections requires microbiological cultures, both for isolation and for identification of causative organisms, as well as for antimicrobial susceptibility testing. Chemical analysis of joint fluids and histopathologic examination of infected tissues are often necessary to distinguish infections from other causes of inflammation, as well as to provide information as to the type of infection before the results of cultures are available.

Functional MRI activation in children with and without dyslexia during pseudoword aural repeat and visual decode: before and after treatment.

Children without dyslexia (n=10) received nonphonological treatment, and those with dyslexia received phonological (n=11) or nonphonological (n=9) treatment. Before and after treatment they performed aural repeat, visual decode, and aural match pseudoword tasks during functional MRI scanning that separated stimulus input from response production. Group map analysis indicated that children with dyslexia overactivated compared with good readers during the aural-repeat/aural-match contrast in bilateral frontal (Brodmann's area [BA] 3, 4, 5, 6, 9), left parietal (BA 2, 3), left temporal (BA 38), and right temporal (BA 20, 21, 37) regions (stimulus input) and underactivated in right frontal (BA 24, 32) and right insula (BA 48) regions (response production); they underactivated in BA 19/V5 during the visual-decode/aural-match contrast (response production).

Mucoid Pseudomonas in cystic fibrosis.

Pseudomonas aeruginosa is a frequent and virulent pulmonary pathogen in patients with cystic fibrosis. If colonization is not prevented, P aeruginosa becomes permanently established and nearly always mutates into a mucoid strain. The alginate-containing matrix of the mucoid strain is thought to allow the formation of protected microcolonies and provide increased resistance to opsonization, phagocytosis, and destruction by antibiotics.

Electrical activity during the 2006 Mount St. Augustine volcanic eruptions.

By using a combination of radio frequency time-of-arrival and interferometer measurements, we observed a sequence of lightning and electrical activity during one of Mount St. Augustine's eruptions. The observations indicate that the electrical activity had two modes or phases.

Evaluation of computer-assisted instruction in histology: effect of interaction on learning outcome.

The purpose of this study was to determine better strategies for the design and use of computer-assisted instruction (CAI) in health science subjects that require visual learning. Evaluation of current use of CAI was focused on three CD-based modules developed to teach histological images to beginning medical students at multiple sites. For internal control, students' learning outcomes and perceived effectiveness were analyzed with their demographic characteristics, computer attitude, computer experience, and learning behaviors being considered.

A randomized controlled trial of osteopathic manipulative treatment following knee or hip arthroplasty.

Context: Preliminary study results suggest that osteopathic manipulative treatment (OMT) may reduce pain, improve ambulation, and increase rehabilitation efficiency in patients undergoing knee or hip arthroplasty.

Objective: To determine the efficacy of OMT in patients who recently underwent surgery for knee or hip osteoarthritis or for a hip fracture.

Design: Randomized controlled trial involving hospital and postdischarge phases.

Osteopathic manipulative treatment for chronic low back pain: a randomized controlled trial.

Study Design: A randomized controlled trial was conducted.

Objective: To determine the efficacy of osteopathic manipulative treatment as a complementary treatment for chronic nonspecific low back pain.

Summary Of Background Data: Osteopathic manipulative treatment may be useful for acute or subacute low back pain.

Vaginal-rectal colonization with group A streptococci in late pregnancy.

Objective: To determine the vaginal-rectal colonization rate with group A streptococci in late pregnancy.

Methods: All patients delivering at a northern New England hospital over a 38 month period had 35-37 week vaginal-rectal swabs cultured for group A and group B streptococci, using selective media and slide agglutination.

Results: Six thousand nine hundred forty-four screening cultures were obtained.

Enterically transmitted hepatitis. Hepatitis A and E viruses.

Enterically-transmitted hepatitis is caused by hepatitis A virus and hepatitis E virus. The most important agent is hepatitis A virus, which is distributed worldwide and infects all age groups. Most infections in children are minimally symptomatic and immunity is long-lasting, so severe disease tends to occur in nonimmune adults.

Detection and characterization of atherosclerotic fibrous caps with T2-weighted MR.

Purpose: We assessed the performance of T2-weighted MR imaging in detecting atherosclerotic fibrous caps and in depicting their integrity.

Methods: Twenty atherosclerotic lesions removed by carotid endarterectomy were imaged on a 1.5-T system using T2-weighted spin-echo sequences.

Induced radioactivity of LDEF materials and structural components.

We present an overview of the Long Duration Exposure Facility (LDEF) induced activation measurements. The LDEF, which was gravity-gradient stabilized, was exposed to the low Earth orbit (LEO) radiation environment over a 5.8 year period.

Complicated soft tissue infection with prepatellar bursitis caused by Paecilomyces lilacinus in an immunocompetent host: case report and review.

Documented Paecilomyces lilacinus infections are quite rare. Most reports involve immunocompromised patients or implanted objects. We report the first case of complicated soft tissue infection caused by P.

Use of rhesus monkey kidney cells for isolation of varicella-zoster virus.

The authors examined the performance of rhesus monkey kidney cells and human diploid fibroblasts (MRC-5 cells) in primary isolation of varicella-zoster virus from clinical specimens in a diagnostic virology laboratory. Seventy-two varicella-zoster virus isolates were recovered between 1985 and 1993. Twenty-three isolates (32%) grew only in rhesus monkey kidney cells, whereas four isolates (6%) grew only in human diploid fibroblasts (MRC-5)(P = .

Legionella and the clinical microbiologist.

Legionella species are important etiologic agents of sporadic and epidemic community-acquired and nosocomial respiratory disease. The list of species continues to expand, and tools for classification and characterization of isolates have become increasingly sophisticated. These organisms are associated with aquatic habitats and are transmitted by aerosol or direct contact.