Efficacy of ceftriaxone versus cefazolin in the prophylactic management of extra-articular cortical violation of bone due to low-velocity gunshot wounds.

One hundred patients sustained gunshot wounds involving bone but not joint with a low-velocity bullet. Soft-tissue involvement was less than 1 cm at its greatest diameter. All patients were free from artery or nerve damage. No formal fixation of fracture was required. The results of the study suggest that patients need not be hospitalized longer than 2 days after an extra-articular, low-velocity gunshot wound that violates the cortex. In addition, through the use of long half-life antibiotics, such as ceftriaxone, the length of hospitalization may further be reduced to a day, while the potential for morbidity from infection is not increased.

Semantic processing can facilitate free recall in mildly retarded adolescents.

The efficacy of semantic processing in free recall was investigated in two experiments with EMR adolescents. In Experiment 1, they were taught to use one of two semantic strategies for memorizing a 15-word list. Compared with controls, neither strategy helped recall either in original learning or transfer. In Experiment 2, one of the semantic strategies, a story mnemonic, was investigated further. Rather than being taught to construct their own stories as in Experiment 1, subjects in Experiment 2 were provided with experimenter-composed stories. They showed better immediate recall and retention after 2 months than did no-strategy controls. However, about 1 year after original learning, the retention of experimental and control subjects no longer differed. Discussion focused on the story mnemonic's potential utility and the criteria for judging such potential, e.g., amount of facilitation, ease of training and performance of the strategy, and the degree of its generalizability.