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PubMed1994

Hospital readmission rates for cohorts of Medicare beneficiaries in Boston and New Haven.

BACKGROUND: Geographic variations in the use of hospital services are associated with differences in the availability of hospital beds. There continues to be uncertainty about the extent to which unmeasured case-mix differences explain these findings. Previous research showed that the number of occupied beds per capita in Boston was substantially higher than the number of occupied beds per capita in New Haven, Connecticut, and that overall rates of hospital utilization were higher for Boston residents than for New Haven residents. METHODS: We used Medicare claims data to study cohorts of Medicare beneficiaries 65 years of age or older and residing in Boston or New Haven who were initially hospitalized for one of five indications (acute myocardial infarction, stroke, gastrointestinal bleeding, hip fracture, or potentially curative surgery for breast, colon, or lung cancer). Residents of Boston or New Haven who were discharged between October 1, 1987, and September 30, 1989, were enrolled in the cohort corresponding to the earliest such admission and followed for up to 35 months. RESULTS: The relative rate of readmission in Boston as compared with New Haven was 1.64 (95 percent confidence interval, 1.53 to 1.76) for all cohorts combined, with a similarly elevated rate for each of the five clinical cohorts and each age, sex, and race subgroup examined. Hospital-specific readmission rates varied substantially among the hospitals in Boston and were higher than those in New Haven. No relation was found between mortality (during the first 30 days after discharge or over the entire study period) and either community or hospital-specific readmission rates. CONCLUSIONS: Regardless of the initial cause of the admission, Medicare beneficiaries who were initially hospitalized in Boston had consistently higher rates of readmission than did Medicare beneficiaries hospitalized in New Haven. Differences in the severity of illness are unlikely to explain these findings. One possible explanation is a threshold effect of hospital-bed availability on decisions to admit patients.

Aged↗

PubMed1999

Inoculation in Boston from 1721 to American Independence.

In 1721, a smallpox epidemic in Boston occurred and inoculation was introduced. It has been said that the inoculation in Boston was under the influence of England, but it has been shown this is not correct. It was clergyman Mather and surgeon Boylston who promoted inoculation, while doctor Douglass, a graduate from Edinburgh University, strongly opposed inoculation. The selectmen in Boston opened a town-meeting and discussed inoculation, and finally rejected the introduction of inoculation into Boston. The Boston citizens were also strongly opposed to inoculation and they even threw a lighted hand grenade into Mather's room. Since then, controversies over inoculation broke out every time a smallpox epidemic occurred. In 1775, George Washington became the commander of the war of Independence. He took a countermeasure to get rid of the smallpox epidemic in his army and he inoculated all army and recruit members. Meanwhile the English commander Howe, who did not pay attention to smallpox, had to decide to withdraw from Boston, since the smallpox epidemic broke out among the English army. In this paper I tried to clarify the controversies over inoculation in Boston, and the fact that smallpox epidemic and inoculation were related to the success of the immigration of the Puritans and also to the success of the independence of the New World from the British Empire.

Communicable Disease Control↗

PubMed2002

Defining lupus cases for clinical studies: the Boston weighted criteria for the classification of systemic lupus erythematosus.

OBJECTIVE: The 1982 American College of Rheumatology (ACR) revised criteria for the classification of systemic lupus erythematosus (SLE), updated in 1997, have become the standard for establishing eligibility of subjects for epidemiologic and clinical lupus studies. These criteria may exclude patients with limited disease, restricting the generalizability of research findings. We developed and evaluated the ability of a weighted classification system to identify a broader spectrum of patients with lupus. METHODS: We constructed the Boston Weighted Criteria system for the classification of SLE, updating that developed in 1984. Using a hospital billing database, we identified 27l patients seen in our rheumatology clinic for possible SLE and reviewed medical records for all ACR criteria and the treating rheumatologist's diagnosis. We compared both the Boston Criteria and the treating rheumatologist's diagnosis to the updated 1982 ACR criteria; we also compared the Boston Criteria to the treating rheumatologist's diagnosis. RESULTS: The Boston Criteria identified 190/271 patients as having SLE, the rheumatologist's diagnosis identified 179/271, and the ACR criteria identified 171/271. The Boston Criteria had a sensitivity of 93% and specificity of 69% compared to the ACR criteria, and would identify 7% more patients. CONCLUSION: The Boston Criteria identify a larger number of patients compared with the current ACR criteria, while retaining face validity. This reflects the inclusion of patients with objective findings of SLE but less than 4 ACR criteria. Our Boston Criteria system could minimize selection bias and increase the generalizability of clinical SLE studies.

Adolescent↗

PubMed2002

Pediatric violence-related injuries in Boston: results of a city-wide emergency department surveillance program.

CONTEXT: Violence-related injuries among children are common, but age-based incidence data are not easily available. OBJECTIVES: To describe injuries due to violence in a population-based case series of children and to estimate injury incidence. DESIGN: Prospective surveillance of children residing in Boston, Mass, who received pediatric emergency department treatment for violence-related injury during a 4-year period beginning April 15, 1995. SETTING: Pediatric emergency departments in Boston. PATIENTS: Children aged 3 through 18 years who came to a hospital emergency department between April 1995 and April 1999. Violence-related injuries were defined as those resulting from a situation of conflict involving 2 or more persons with intent to harm, as assessed by health care personnel caring for the patients. Self-inflicted injuries and injuries caused by child abuse (including any injury resulting from a conflict with a parent or guardian) were excluded. Homicides of Boston children aged 3 through 18 years who were killed during the study period were included based on police data. MAIN OUTCOME MEASURE: Population-based violence-related injury rates. RESULTS: There were 2035 injury-related visits caused by violence, which reflects a rate of 52.7 (95% confidence interval, 50.5-54.9) per 10 000 person-years. Most injuries were relatively minor; 6.4% of visits resulted in admission. The youth violence-related injury rate in Boston declined at an average rate of 12% annually during the period studied. CONCLUSION: Pediatric emergency department monitoring of violence-related injury in Boston suggests that childhood injuries due to violence declined during the late 1990s.

Academic Medical Centers↗

PubMed1980

Presidential address. John Jeffries. Tory surgeon during the flowering of Boston medicine, 1750 to 1800.

Boston medicine in the period 1750 to 1800 is described, along with the life and contributions to Boston medicine and surgery of John Jeffries, a Tory surgeon. Jeffries received his medical degree in Scotland and then practiced in Boston until 1775, when he departed with the English. He eventually returned to Boston to complete an illustrious practice from 1789 to 1819. Among his other accomplishments, he and a Frenchman were the first to fly a hot air balloon across the English channel. His contributions to the development of Boston surgery and its medical societies were significant.

Boston↗

PubMed1997

Difference in treatment of foot ulcerations in Boston, USA and Pisa, Italy.

Primary care of the diabetic patient with foot ulcer can be provided by medically or surgically trained practitioners. We have prospectively followed 90 sequential patients with newly developed foot ulcers from two major centers. One in the USA where the primary doctor was a podiatrist and one in Europe with a diabetologist. Thirty-four patients from Boston and 56 from Pisa (mean age, 55.6; range, 26-75 years; vs. 66.5; range, 35-94; P < 0.001), matched for sex, weight, type, duration of diabetes, renal impairment and retinopathy took part. Boston patients had more severe neuropathy, assessed with clinical examination utilizing a neuropathy disability score (NDS) (16 +/- 6 vs. 6 +/- 3 (mean +/- S.D.) P < 0.001) and vibration perception threshold (46 +/- 8 vs. 35 +/- 12 V: P < 0.001) while no difference existed in the number of patients with clinical infection, a history of lower extremity by-pass operation (6 (18%) vs. 3 (5%); P = NS) and in the size and the severity of the ulcer, according to the Wagner classification. Initial treatment was similar in both centers with emphasis on outpatient ulcer debridement, pressure relieving foot-wear and topical wound care. Hospitalization was needed in five (15%) Boston and 12 (21%) Pisa patients (P = NS) while surgery was performed on five (15%) Boston and 16 (29%) Pisa patients (P = NS). The in-hospital stay was similar in both centers (1.4 +/- 4.4 vs. 2.1 +/- 5.9 days; P = NS). The most common operations in both centers were incision, drainage and bone debridement. Ulcers healed in all patients but the amount of healing time was shorter in Boston patients (6.7 +/- 4.2 vs. 10.5 +/- 6.5 weeks; P < 0.02). We conclude that despite the differences in the two systems similar success rates were achieved in the two centers while a more surgically oriented strategy may have resulted in a slightly shorter healing time.

Adult↗

PubMed1989

Hospital use and mortality among Medicare beneficiaries in Boston and New Haven.

We compared rates of hospital use and mortality in fiscal year 1985 among Medicare enrollees in Boston and New Haven, Connecticut. Adjusted rates of discharge, readmission, length of stay, and reimbursement were 47, 29, 15, and 79 percent higher, respectively, in Boston; 40 percent of Boston's deaths occurred in hospitals as compared with 32 percent of New Haven's. High-variation medical conditions (those for which there is little consensus about the need for hospitalization) accounted for most of these differences. By contrast, discharge rates for low-variation medical conditions (which tend to reflect the incidence of disease) were similar. Inpatient case-fatality rates were lower in Boston than in New Haven (RR = 0.85; 95 percent confidence interval, 0.78 to 0.92), but when all deaths (regardless of place of death) were measured, the mortality rates in Boston and New Haven were nearly identical (RR = 0.99; 95 percent confidence interval, 0.93 to 1.05). We conclude that the lower rate of hospital use by Medicare enrollees in New Haven was not associated with a higher overall mortality rate. Population-based as well as hospital-based statistics are needed to evaluate differences in hospital mortality rates for high-variation medical conditions.

Aged↗

PubMed1990

The carriage of Escherichia coli resistant to antimicrobial agents by healthy children in Boston, in Caracas, Venezuela, and in Qin Pu, China.

BACKGROUND AND METHODS: The healthy members of a community represent its largest reservoir of bacteria resistant to antimicrobial agents. We compared the resistance to eight agents of Escherichia coli in stool samples from untreated, healthy children in cities on three continents. RESULTS: When screened by a selective method that detected 1 resistant colony in 10,000 colonies, nearly half the children in Boston (18 of 39) had no resistant colonies--a finding consistent with the findings of other surveys performed in developed countries. However, all but 1 of 41 children screened in Caracas, Venezuela, and all but 2 of 53 in Qin Pu, China, carried resistant strains. Only 1 child in Boston but 25 in Caracas and 34 in Qin Pu carried strains resistant to trimethoprim. None of the children in Boston or Caracas but 17 in Qin Pu carried strains resistant to gentamicin. Among 10 colonies selected randomly from each stool sample, the average frequency of resistance in Caracas was 3.6 times greater than in Boston, and that in Qin Pu was 5.3 times greater. There was resistance to five or more antimicrobial agents in 20 percent of the Qin Pu strains and in 6 percent of the Caracas strains but in none of the Boston strains. CONCLUSIONS: In addition to clinical isolates, as reported previously, the bacteria that colonize health children in the community may be resistant far more often in some regions than in others. A low rate of carriage of antimicrobial resistance in the community should become a public health goal.

Anti-Bacterial Agents↗

PubMed2006

Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire.

OBJECTIVES: The aim of this study was to develop a Turkish version of the Boston Questionnaire and assess its reliability and validity. METHODS: Sixty-seven patients with idiopathic carpal tunnel syndrome were included in the study. The Turkish version of Boston Questionnaire was obtained after translation process, and was then administered to subjects twice within seven days. Reliability was assessed by internal consistency (Cronbach's alpha and item-total correlation), and reproducibility. Validity was examined by correlating the Boston Questionnaire scores to general health status (Short Form-36), pain severity (Visual Analogue Scale) and pinch and grip strength measures. RESULTS: Reliability of the Turkish version was very good, with high internal consistency (Cronbach's alpha 0.82 for symptom severity scale, and 0.88 for functional status scale), and reproducibility (Pearson correlation coefficient 0.60 for symptom severity scale, and 0.77 for functional status scale). The Boston Questionnaire scores were correlated with Visual Analogue Scale, physical functioning, physical role, bodily pain and emotional role subscales of Short Form-36, pinch and grip strength scores to obtain coefficients for external construct validity. CONCLUSION: Adaptation of the Boston Questionnaire for use in Turkey was successful. Our results seem to support previous finding of the English version, indicating that it is valid and reliable.

Adult↗

PubMedDate not supplied

Focus on: Boston City Hospital Department of Clinical Engineering.

This paper describes the Clinical Engineering Department at the Boston City Hospital, Boston, Massachusetts. Boston City Hospital is the largest component of the City of Boston's Department of Health and Hospitals. The Clinical Engineering Department maintains in excess of 2,700 devices located at Boston City Hospital, Long Island Hospital, Mattapan Chronic Disease Hospital, and three neighborhood health centers that operate under the License of the Department of Health and Hospitals. The Clinical Engineering Department is responsible for the management, repair, testing, calibration, modification, and installation of medical equipment at each of the facilities. The department is also active in the training of clinical and professional staff members, and participates in anesthesia and laser research.

Biomedical Engineering↗

PubMed1977

A comparison of visual pathways in Boston and Midwestern Siamese cats.

A genetic mutation in Siamese cats causes retinogeniculate fibers representing roughly the first 20 degrees of ipsilateral visual field in each eye to cross aberrantly in the optic chiasm and terminate in the wrong lateral geniculate nucleus (LGN). Previous investigations have shown that in the visual cortex this extra representation of ipsilateral visual field can be organized into one pattern in Boston Siamese cats, another in Midwestern. This finding was confirmed here. The possibility that the organization of the LGN might account for these two patterns was studied using combined anatomical and physiological methods. On the basis of microelectrode recordings from the visual cortex, 11 out of the 12 Siamese cats included here were Boston cats; one was Midwestern. The distribution of retinogeniculate terminals was examined in each cat using autoradiographic techniques following an eye-injection of 3H-proline. Overall, the LGN organization in Boston cats was similar to that of Midwestern: both lateral and medial normal segments of lamina A1 (mnA1) were present. In Boston cats, however, the mnA1 was remarkably small and shifted ventromedially in the nucleus to allow for the fusion between the medial borders of lamina A and the abnormal segment of A1. In the Midwestern cat this fusion was not apparent and the medial normal segment of A1 was significantly larger. These differences in organization of the LGN are consistent with those seen at the level of the visual cortex in Midwestern and Boston Siamese cats. It was not possible, however, to relate them clearly to the characteristic strabismus of these animals.

Animals↗

PubMed1977

Abnormal interhemispheric connections in the visual system of Boston Siamese cats: a physiological study.

In the normal cat most visual fibers in the splenium of the corpus callosum are concerned with a representation of the vertical meridian of the visual field. These fibers for the most part originate from cortical regions forming the border between adjacent architectonic areas, such as the anatomical 17-18 border. Due to a genetic mutation in Boston Siamese cats, the anatomical 17-18 border now represents a region in the ipsilateral visual field roughly 20 degrees away from the vertical meridian, and the representation of the vertical midline is displaced from the border to regions within areas 17 and 18 proper. Do visual fibers in the Boston Siamese cat corpus callosum originate, as in normal cats, from the 17-18 border even though the vertical meridian is no longer represented there? The present paper deals with this question from a physiological standpoint. Single visual fibers in the corpus callosum of 11 Boston Siamese and two normal cats were recorded using extracellular microelectrodes. Receptive fields were mapped and their positions used to infer the likely cortical site of origin for each fiber. In confirmation of earlier findings, most callosal receptive fields in the normal cat were closely apposed to the vertical meridian, as would be expected if only those visual cortical regions which represent the vertical meridian, such as the border between areas 17 and 18, contribute to the corpus callosum. In Boston Siamese cats, however, an abnormally large amount of visual field was represented in the corpus callosum, with some receptive fields located as far as 25 degrees away from the vertical meridian. The representation of the vertical meridian was nevertheless substantial. The present findings suggest, therefore, that in Boston Siamese cats callosal fibers do not originate solely from the boundary regions between adjacent cortical areas, such as the anatomical 17-18 border, but originate also from other cortical regions, especially the vertical meridian representation, regardless of their location with respect to such boundaries.

Animals↗

PubMed1977

Anatomy of interhemispheric connections in the visual system of Boston Siamese and ordinary cats.

In Siamese cats, previous studies have shown that a genetic mutation causes retinogeniculate fibers in each eye which arise from the temporal retina representing the 20 degrees of ipsilateral visual field adjacent to the vertical meridian to cross aberrantly in the optic chiasm, thereby terminating in the wrong lateral geniculate nucleus. The abnormality is expressed subsequently at the level of the visual cortex. This paper presents anatomical evidence that the pattern of commissural visual connections in the "Boston" variety of Siamese cat also is highly abnormal in comparison to that of ordinary cats. The topographical distribution of neurons supplying visual fibers to the splenium of the corpus callosum was studied in Boston Siamese and ordinary cats using the method of retrograde transport of horseradish peroxidase (HRP) following localized cortical injections made through a recording micropipette. In ordinary cats, after an HRP injection at the border between cortical areas 17 and 18, which represents the vertical meridian of the visual field, HRP-labeled cells in areas 17 and 18 of the opposite hemisphere were found only immediately adjacent to the 17-18 border, thus confirming the results of previous investigations. In Boston Siamese cats, the border represents a region in the ipsilateral visual field roughly 20 degrees away from the vertical meridian, and the vertical meridian representation is displaced to sites within areas 17 and 18 proper. When HRP was injected at the 17-18 border, labeled cells in the opposite hemisphere were located well within area 17 near the suprasplenial sulcus, and also well within area 18; few labeled cells were found at the 17-18 border. When an HRP injection was placed at the vertical meridian representation, again few HRP-labeled cells were found at the opposite 17-18 border, but instead most were found in area 17 slightly medial to the border, and in area 18 slightly lateral to it. Thee findings were complemented in an autoradiographic study in which orthograde transport of tritiated proline after a localized cortical injection was used to demonstrate the distribution of callosal terminals. Thus the pattern of callosal connections revealed in Boston Siamese cats, although anatomically different from that of ordinary cats, was nevertheless consistent with the proposal that cortical sites representing similar visual field coordinates in each hemisphere are appropriately interconnected via the corpus callosum. The laminar distribution of callosal connections was examined briefly. Layer III pyramidal cells of areas 17 and 18 supplied the majority of terminals to the opposite 17-18 border. Pyramidal cells of Layers II and VI, and Layer IVa in area 18, made a smaller contribution. In areas 17 and 18, the same cortical layers (II, III, and VI; and IVa in 18) were again the major sites of callosal termination. A clear projection to the base of layer I was also noted. The laminar distribution of callosal connections in ordinary and Boston Siamese cats were not substantially different.

Agenesis of Corpus Callosum↗

PubMed2004

Accurate mass measurement and tandem mass spectrometry of intact globin chains identify the low proportion variant hemoglobin Lepore-Boston-Washington from the blood of a heterozygote.

Within a mixture of proteins, minor polymorphic components are difficult to identify using a conventional proteomic approach. Their identification generally requires multi-dimensional separation steps, before or after proteolytic cleavage, followed by sequence analysis of the proteolytic products. In this study, we investigated the potential of tandem mass spectrometry for protein characterization by identifying the delta-beta hybrid human hemoglobin variant Lepore-Boston-Washington using electrospray ionization tandem mass spectrometry. Hemoglobin Lepore-Boston-Washington occurs mainly in heterozygotes, where it comprises approximately 10% of the total non-alpha-chains, the dominant non-alpha-chain being the normal beta (approximately 90%). Furthermore, Hemoglobin Lepore-Boston-Washington has an average molecular mass (15,865.23 Da) that is only 2 Da lower than that of the normal beta-chain (15,867.24 Da). Consequently, it cannot be resolved from the normal beta-chain by mass spectrometry. Here we show how Hemoglobin Lepore-Boston-Washington was identified directly from the diluted blood of a heterozygote by analyzing the product ions from the Lepore-Boston-Washington and normal beta-chain ions without prior separation of the individual chains. This study shows the potential of the tandem mass spectrometry for identifying a minor component in an unseparated mixture of proteins.

Amino Acid Sequence↗

PubMed1997

A comparison between the Boston brace and the Charleston bending brace in adolescent idiopathic scoliosis.

STUDY DESIGN: The authors studied 319 patients with adolescent idiopathic scoliosis treated at the same institution with either a Boston brace or a Charleston bending brace. OBJECTIVES: To determine if both orthoses are equally effective in stopping curve progression and preventing the need for surgical correction. SUMMARY OF BACKGROUND DATA: Early reports suggest that the Charleston brace may be comparable to the Boston brace in its effectiveness and that both braces positively influence the natural history of idiopathic scoliosis. METHODS: Skeletally immature (Risser 0, 1, or 2) patients with idiopathic scoliosis who were 10 years old or older at the time of brace prescription, had curves from 25 degrees to 45 degrees, and had no prior treatment were studied retrospectively. All measurements were collected by a single observer, and all patients were followed up to skeletal maturity. RESULTS: The Boston brace is more effective than the Charleston brace, both in preventing curve progression and in avoiding the need for surgery. These findings were most notable for patients with curves of 36 degrees-45 degrees, in whom 83% of the those treated with a Charleston brace had curve progression of more than 5 degrees, compared with 43% of those treated with the Boston brace (p < 0.0001). CONCLUSION: When given the choice between these two orthoses in the treatment of adolescent idiopathic scoliosis, the authors recommend use of the Boston brace. The Charleston brace should be considered only in the treatment of smaller single thoracolumbar or single lumbar curves.

Adolescent↗

PubMed2000

Effectiveness of the boston brace in treatment of large curves in adolescent idiopathic scoliosis.

STUDY DESIGN: This is a retrospective study of 50 patients with adolescent idiopathic scoliosis with curves measuring 35 degrees to 45 degrees who were treated with a Boston brace. OBJECTIVES: The purpose of this study was to determine whether the Boston brace could effectively halt long-term progression in skeletally immature adolescents with idiopathic scoliosis who had a curve between 35 degrees and 45 degrees. SUMMARY OF BACKGROUND DATA: The Boston brace has been shown to be effective in preventing curve progression in adolescent idiopathic scoliosis, but its efficacy in large curves has not been fully studied. METHODS: Fifty adolescents were treated with a Boston brace for idiopathic scoliosis curves of 35-45 degrees (mean, 38.55 degrees ). All were judged to be skeletally immature based on menarcheal status (mean, 2.6 months before menarche), Risser sign (mean, 0.90; range, 0-2), and chronologic age (mean, 13 +/- 1 years). Patients were recalled for long-term follow-up at a mean of 9.7 years (range, 6.23-13.22 years) after brace discontinuation. Three well-matched patient subsets were then identified based on compliance. Group 1 (n = 24) consisted of patients who were compliant with the brace program and wore the brace 18 or more hours per day, Group 2 (n = 14) contained patients who wore the brace 12-18 hours per day, and Group 3 (n = 12) contained patients who wore the brace 0-12 hours per day. RESULTS: There was a significant difference in the amount of initial correction seen in the brace between the groups: 49%, 45%, and 33% curve correction in the brace for Groups 1, 2, and 3, respectively (P < 0.05). At long-term follow-up there was a statistically significant difference between Groups 1, 2, and 3 in the percentage of patients in whom the curve had progressed to more than 45 degrees (P < 0.001), who had more than 5 degrees of curve progression (P < 0. 05), or who had undergone posterior spinal fusion (P < 0.001). CONCLUSIONS: These long-term data confirm that the Boston brace when used 18 or more hours per day is effective in preventing progression of large curves at a mean of 9.8 years after bracing is discontinued.

Adolescent↗

PubMed2003

Boston brace correction in idiopathic scoliosis: a biomechanical study.

STUDY DESIGN: To analyze Boston brace biomechanics, pressure measurements and finite element simulations were done on 12 adolescent idiopathic scoliosis patients. OBJECTIVES: The aim was to analyze the Boston brace effectiveness using a finite element model and experimental measurements. SUMMARY OF BACKGROUND DATA: There are not very many biomechanical studies of Boston brace effectiveness, and its biomechanical action is not completely understood. METHODS: This study was performed on 12 girls with scoliosis treated with the Boston brace system. The experimental protocol was composed of the acquisition of two sets of multiplanar radiographs with and without brace followed by the pressure acquisition at the brace-torso interface. A personalized finite element modeling of the trunk was generated from the 3D reconstruction of the patient's geometry. The brace treatment was simulated by the application of equivalent forces calculated from the pressure measurements. RESULTS: Two Boston brace force patterns were defined from the pressure measurements. The first one consisted of high right thoracic forces of 31-113 N, lumbar forces less than 47 N, and included a left thoracic extension working as a counter pad. The second one consisted of low thoracic forces less than 20 N, lumbar forces up to 70 N, without left thoracic extension. The simulations showed that the passive forces only produced a coronal Cobb angle correction up to 9 degrees, whereas real correction was up to 16 degrees. CONCLUSION: High thoracic pads reduced more effectively both thoracic and lumbar scoliotic curves than lumbar pads only. The study suggests that mechanisms other than brace pads produce correction and contribute to the force equilibrium within the brace.

Adolescent↗

PubMed2004

In search of the Boston Strangler: genetic evidence from the exhumation of Mary Sullivan.

The Boston Strangler was one of the United States' most notorious serial killers, raping and strangling with decorative ligatures thirteen woman in Boston during the early 1960s. Albert DeSalvo, never a suspect in the slayings, confessed in prison (where he was later murdered) to being the Boston Strangler, and the investigation largely ended. Mary Sullivan was the last victim of the Boston Strangler, found sexually assaulted and strangled in her Boston apartment in 1964. Recently, a team of forensic scientists undertook the exhumation and subsequent scientific analysis of Mary Sullivan's remains, in hope of finding consistencies or inconsistencies between DeSalvo's confessed description of the murder and any evidence left behind. Included in these analyses was extensive DNA testing of all UV fluorescent material associated with the body. The large majority of results were negative, however, fluorescent material located on the underwear and entwined in her pubic hair generated two human mitochondrial DNA sequences. Neither of these matched the victim nor members of the forensic team who worked on the evidence. Most importantly, neither DNA sequence could have originated from Albert DeSalvo.

Autopsy↗