Elderly patients are highly susceptible to rib fractures after trauma. The use of a clinical pathway to determine resource allocation for patients with rib fractures has resulted in positive treatment outcomes. This retrospective study assessed the efficacy of a triage protocol involving trauma services on hospital length of stay in elderly patients with fractured ribs. Patients who had 3 or more ribs fractured experienced a statistically significant reduction in hospital length of stay after protocol implementation. We conclude that elderly patients with 3 or more rib fractures should be systematically referred to a trauma specialist.

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Single crystal X-ray analysis reveals that although molecules of pure ( S a n d racemic (R,S)-2,2,2-trifluoro-l -(g-anthryl)ethanol 1 differ significantly in their intermolecular packing; in each case a strong hydrogen bond is formed between the OH group of one molecule and a specific n-face of one benzo ring of 1 which PM3 derived molecular electrostatic potentials show to arise via stereoelectronic assistance from the OH group.

Robust exploitation of tracking and surveillance data will provide an early warning and cueing capability for military and civilian Law Enforcement Agency operations. This will improve dynamic tasking of limited resources and hence operational efficiency. The challenge is to rapidly identify threat activity within a huge background of noncombatant traffic. We discuss development of an Automated Anomaly Detection Processor (AADP) that exploits multi-INT, multisensor tracking and surveillance data to rapidly identify and characterize events and/or objects of military interest, without requiring operators to specify threat behaviors or templates. The AADP has successfully detected an anomaly in traffic patterns in Los Angeles, analyzed ship track data collected during a Fleet Battle Experiment to detect simulated mine laying behavior amongst maritime noncombatants, and is currently under development for surface vessel tracking within the Coast Guard's Vessel Traffic Service to support port security, ship inspection, and harbor traffic control missions, and to monitor medical surveillance databases for early alert of a bioterrorist attack. The AADP can also be integrated into combat simulations to enhance model fidelity of multi-sensor fusion effects in military operations.