Faculty Bibliography

Most adult cigarette smokers start smoking during adolescence. Since youths' perceptions of cigarette smoking may influence their decision to smoke, it is important to understand early adolescents' feelings about, and information sources regarding, smoking. In the present study, a cross-sectional survey, conducted in an urban junior high school, asked students in grades six to eight about their attitudes toward cigarette advertising, their perception of the harmful effects of cigarette smoking, and their sources of information. One hundred students completed the questionnaire, 12 of whom were current or former smokers. Approximately 27% believed cigarette advertising significantly influenced their classmates or themselves. Ninety percent recognized that cigarette smoking was seriously harmful. The source of this information was mainly teachers and parents. While 53% of the students identified their parents as the ones who taught them not to smoke, 47.8% of these parents were smokers themselves. Only 2% of the students indicated that they received information about the effects of smoking from health providers.

The results of replantation at the wrist and distal forearm are reported to be better than at the metacarpal level, in part because the latter involve direct injury to the intrinsic muscles. This study evaluates a new post-operative protocol for replantation at the metacarpal, wrist and distal forearm levels. 3 days after replantation, the patient was placed in a dynamic crane outrigger splint with MP joint control, compensating for intrinsic muscle function loss. From 4 to 12 weeks, an anticlaw splint alternated with the outrigger splint. After 12 weeks, a dynamic wrist extension orthosis was added to the anti-claw splint. 11 patients (four replantations at the transmetacarpal level, three at the wrist and four in the distal forearm) had this protocol between 1988 and 1993. For distal forearm replantation, TAM of fingers averaged 216 degrees, grip strength 42 lb, and pinch strength 7.2 lb with 75% good or excellent results. For wrist replantations, TAM of fingers averaged 243 degrees, grip strength 37 lb and pinch strength 10.6 lb with 100% good or excellent results. For transmetacarpal replantations, TAM of fingers averaged 189 degrees, grip strength 37 lb and pinch strength 5.6 lb, with 75% good and excellent results. Early protected mobilization, as described here, preserves tendon gliding, muscle strength and excursion. Our results support this protocol for wrist and distal forearm replantation and especially for transmetacarpal replantation, the results of which tend to be poor according to the medical literature.

BACKGROUND AND OBJECTIVES: Some authors do not place quotation marks around words used verbatim from another source. The purpose of this study was to determine if physician faculty, English faculty, editors, and medical students would: 1) consider it plagiarism to use selected samples of verbatim or paraphrased text from a published medical journal article (without quotation marks but with citation of the original work) and 2) consider this an important type of plagiarism. METHODS: A questionnaire was circulated to medical school faculty, English faculty, health care and non-health care editors, and medical students. Respondents compared writing samples with an original article and determined if any samples displayed plagiarism. (All samples were plagiarism according to published guidelines). RESULTS: The majority of physicians did not perceive any of the samples as being plagiarism and did not consider this type of plagiarism important. The reverse was true of the majority of medical students, English faculty, and nonphysician editors. CONCLUSIONS: While perceptions varied widely within and among all groups studied, some physician faculty members and many other publishing professionals and medical students regard the use of verbatim text from another author without quotation marks as a serious form of plagiarism.

This study reports results in nine patients with extensive loss of soft tissue, extensor tendon, and bone, treated with an emergency free flap for skin cover, primary bone grafts, and tendon grafts passed through individual tunnels in the free flap. Four had a good result, four were fair and one poor. Six patients returned to work, two were not working and one was retired. In select patients, emergency reconstruction of severe extensor tendon injuries appears to produce better function, with fewer operations, a shorter hospital stay, minimal complications, and a shorter period of disability.