suMMARY Neisseria meningitidis was recovered from the urethra of nine and from the anal canal of seven men, and from the cervix of two women. Twelve of the 16 men were admitted homosexuals. Seven men had no symptoms, while the remainder had mild to moderate symptoms. One woman was asymptomatic and the other was in hospital with acute salpingitis. Reports of previous isolations of meningococci from the urethra, cervix, or anal canal are reviewed. It is concluded that in men, these infections are usually mild and self-limited, but in women, meningococcal genital infections frequently proceed to severe disease.

This report describes a Glycemic Control Program instituted at an academic regional level-one trauma center. Key interventions included: 1) development of a subcutaneous insulin physician order set, 2) use of a real-time data report to identify patients with out-of-range glucoses, and 3) implementation of a clinical intervention team. Over four years 18,087 patients admitted to non-critical care wards met our criteria as dysglycemic patients. In this population, glycemic control interventions were associated with increased basal and decreased sliding scale insulin ordering. No decrease was observed in the percent of patients experiencing hperglycemia. Hypoglycemia did decline after the interventions (4.3% to 3.6%; p = 0.003). Distinguishing characteristics of this Glycemic Control Program include the use of real-time data to identify patients with out-of-range glucoses and the employment of a single clinician to cover all non-critical care floors.

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