The transformation of a gold standard in-person substance use assessment to a web-based, REDCap integrated data capture tool.

The adoption of computer systems for gathering, managing, and analyzing health data is resulting in the replacement of pen-and-paper methods for collecting data and managing health records by computerized methods. One classic "pen-and-paper" assessment in health and substance use research is the Timeline Follow-Back (TLFB), the gold standard in self-reported substance use developed in 1996 by Sobell et al. to assess alcohol consumption patterns and later other substances such as marijuana or tobacco over discreet timeframes [1-7]. The TLFB has been modified by some research groups for use as a web-based assessment [8-10], but not without significant limitations. As such, this paper describes the team-oriented, interdisciplinary process by which a new online TLFB (O-TLFB) was conceptualized, the technical details of development towards a dynamic data capture tool fully integrated with REDCap via application programming interface (API), and the potential for this optimized O-TLFB to be leveraged broadly across the domains of substance use, health, and behavioral research.

Retrospective analysis of urologic complications in male patients with spinal cord injury managed with and without indwelling urinary catheters.

OBJECTIVES: To compare, in a retrospective fashion, the long-term urologic complications in male patients with spinal cord injury managed with and without indwelling urinary catheters. METHODS: The records of 142 consecutive male patients with traumatic spinal cord injuries sustained between 1975 and 1985 (inclusive) were reviewed. Fifty-six patients were managed with indwelling urinary catheters, and 86 were managed without an indwelling catheter. Urinary complications were recorded for each patient under the following general subheadings: renal, urinary tract infection, stones, urethral, and other. RESULTS: In all, there were 95 complications in the noncatheterized group versus 202 in the catheterized group (P = 0.007). The catheterized group experienced significantly more problems with renal damage, recurrent urinary tract infection, stones, and urethral complications. CONCLUSIONS: Our study shows that elimination of indwelling urinary catheters in patients with spinal cord injury will significantly reduce the incidence of urinary tract complications and lead to better preservation of renal function.

Subacute salicylate intoxication in an infant with echovirus type 11 infection.

An antigenic variant of E 11 was the most frequently encountered echovirus in the United States in 1979. Several reports have indicated that infection with this agent was often associated with an overwhelming clinical course in neonates. Our case was in a 5-week-old infant with an E 11 infection complicated by subacute salicylate intoxication. This unfavorable combination resulted in a fulminant and fatal illness simulating Reye's syndrome.

Plasmid Profiles of Lactose-Negative and Proteinase-Deficient Mutants of Streptococcus lactis C10, ML(3), and M18.

Lactose- and proteinase-negative (Lac Prt) mutants of Streptococcus lactis C10, ML3, and M18 were isolated after treatment with ethidium bromide. The Lac Prt mutants of C10 were missing a 40-megadalton plasmid. A 33-megadalton plasmid was absent in the ML3 mutants, and the M18 variants lacked a 45-megadalton plasmid. The results suggest a linkage of these metabolic traits to the respective plasmids. The possible complexity of the interrelationship between lactose metabolism and proteinase activity is presented.

Isolation and characterization of plasmid DNA in Streptococcus cremoris.

Nine industrially important strains of Streptococcus cremoris (HP, AM(2), ML(1), WC, C(3), R(1), E(8), KH, and Wg(2)) were shown to possess a diversity of plasmid molecules. Molecular weights of plasmids were determined from their relative mobilities after agarose gel electrophoresis and via electron microscopy. To illustrate the varied plasmid sizes, strain HP contained plasmids of 26, 18, 8.5, 3.3, and 2 megadaltons (Mdal); strain ML(1) contained plasmids of 29, 18, 9, 4, 2.2, and 1.8 Mdal; and strain AM(2) had plasmids of 42, 27, 16, and 8.4 Mdal. The numbers of plasmids observed in the other strains were 6, 5, 5, 7, 5, and 4 for C(3), E(8), KH, R(1), WC, and Wg(2), respectively. A spontaneous proteinase-negative (Prt(-)) mutant of HP was missing the 8.5-Mdal plasmid, which suggests that in this strain proteinase activity could be linked to this particular plasmid. A lactose-negative (Lac(-)) Prt(-) mutant of ML(1) lacked the 2.2-Mdal plasmid. Under the conditions employed, antibiotic sensitivity and heavy-metal susceptibility did not correlate with the missing plasmid in Prt(-) HP or in the Lac(-) Prt(-) ML(1). Curing experiments with AM(2), using acridine dyes and elevated temperatures, did not yield Lac(-) variants. AM(2) was also cultured at high dilution rates in a chemostat for 168 h by using a buffered milk or lactic broth at 18 or 32 degrees C with no selection of Lac(-) derivatives. The inability to obtain Lac(-) variants under conditions known to facilitate plasmid elimination suggests that lactose metabolism is not plasmid-mediated in AM(2).