Emergency response team: Hurricane Georges in Key West

Hurricane Georges (category 2) struck Key West, Florida, on September 25, 1998. Lower Florida Keys Hospital, which serves Key West and the Lower Keys, had previously been evacuated of inpatients and staff. An emergency response team composed of three emergency medicine (EM) physicians and four EM nurses was sent at the request of the state to maintain emergency department (ED) operations at the hospital. Eighty-six patients presented to the ED during the 72-hour period. Medical problems accounted for the majority of visits (52.3%), with minor trauma next (41.9%). Initially, patients requiring hospitalization were evacuated, but as the storm neared, this was stopped. Six patients required hospitalization at Lower Florida Keys Hospital during the period that evacuations were unavailable. Four deaths occurred during the 24-hour period. Complicating factors included environmental conditions, limited laboratory and radiologic studies, limited medication stocks, and closure of local pharmacies before and after the hurricane. More than 300 nursing home patients were housed at the nearby jail shelter. Knowledge of such high-risk groups that remain in the vicinity is crucial to planning a response plan.

An encyclopedia of mouse genes

The laboratory mouse is the premier model system for studies of mammalian development due to the powerful classical genetic analysis possible (see also the Jackson Laboratory web site, http://www.jax.org/) and the ever-expanding collection of molecular tools. To enhance the utility of the mouse system, we initiated a program to generate a large database of expressed sequence tags (ESTs) that can provide rapid access to genes. Of particular significance was the possibility that cDNA libraries could be prepared from very early stages of development, a situation unrealized in human EST projects. We report here the development of a comprehensive database of ESTs for the mouse. The project, initiated in March 1996, has focused on 5' end sequences from directionally cloned, oligo-dT primed cDNA libraries. As of 23 October 1998, 352,040 sequences had been generated, annotated and deposited in dbEST, where they comprised 93% of the total ESTs available for mouse. EST data are versatile and have been applied to gene identification, comparative sequence analysis, comparative gene mapping and candidate disease gene identification, genome sequence annotation, microarray development and the development of gene-based map resources.

Ectomycorrhizal community structure across forest openings on naturally regenerated western hemlock seedlings

We examined the diversity and distribution of ectomycorrhizal morphotypes on naturally regenerated western hemlock (Tsuga heterophylla (Raf.) Sarg.) seedlings across small forest openings (50-75 m in diameter) in northwest British Columbia. The total and average morphotype richness decreased across the 4-year-old forest openings despite the rapid establishment of western hemlock and lack of soil disturbance. Average fungal richness decreased from 13.1 morphotypes under the forest canopy to 9.6 at the forest edge (27% reduction) and to 7.8 in the forest opening (40% reduction). Cenococcum geophilum, Mycelium radicis atrovirens, and Lactarius I were the most abundant ectomycorrhizae at each gap position, and none of the ectomycorrhizal fungi found in openings were eliminated by "late-stage" fungi in mature stands. This fungal distribution supports the "multistage" concept of ectomycorrhizal succession. Seedlings under the forest canopy had a total of 38 fungal morphotypes in a relatively even distribution pattern that corresponded well to the "random niche boundary" hypothesis. Fungal distributions were progressively less even for seedlings at the forest edge and opening than for seedlings beneath the canopy, perhaps because reduced fungal diversity and hyphal inoculum had affected the competitive balance of the ectomycorrhizal community.Key words: ectomycorrhizal community, diversity, succession, forest gaps.

Figural fluency: differential impairment in patients with left versus right frontal lobe lesions

Based on an experimental study, Jones-Gotman and Milner demonstrated that patients with right frontal lobe lesions were impaired on design fluency. We sought a clinical adaptation and developed a psychometrically sound technique for design fluency. The present study explores the validity of the Ruff Figural Fluency Test (RFFT) in discriminating patients with either right frontal or nonright frontal lobe lesions. In the first of two studies, six subjects with circumscribed focal lesions were given the RFFT and the Jones-Gotman and Milner figural fluency task. In the second study, we identified a larger sample of 30 patients with focal lesions in the right frontal, left frontal, right posterior, or left posterior cortex. The results from both studies support the validity of the RFFT as a measure which is sensitive to right anterior dysfunction.

The Ruff 2 and 7 Selective Attention Test: a neuropsychological application

The neuropsychological application of the Ruff 2 and 7 Selective Attention Test as a measure of visual selective attention was investigated. The instrument was constructed as a paper-and-pencil approach to evaluate sustained attention utilizing different distractor conditions in the study of voluntary or intentional aspects of attention. Four patient groups with cerebral lesions confined to either the right or left anterior or left or right posterior region (ns = 8, 8, 8, 6) were studied. Patients with right-hemispheric lesions showed a greater over-all reduction in processing speed independent of the serial or parallel processing mode in comparison to individuals with left-sided lesions. Furthermore, as predicted, the two groups with anterior brain damage showed a larger discrepancy between serial and parallel processing modes than patients with posterior lesions. Specifically, the right frontal cases showed the greatest differential of accuracy on the serial and parallel tasks.