This study examined the effect of weather and seasonality on hip fracture incidence in older adults residing in New York City. A total of 66,346 patients aged ≥65 years who sustained a fracture of the femoral neck or intertrochanteric region from 1985 to 1996 comprised the study population. Hip fractures were more likely to occur in the winter than in any of the other seasons (P<.001). Factors significantly correlated with hip fracture included minimum daily temperature (r=.167, P<.001), daily wind speed (r=.166, P<.001), maximum daily temperature (r=.155, P <.001), minutes of sunshine (r=.067, P <.01), and average relative humidity (r=.033, P=.03). A greater number of hip fractures occurred in colder months, with ambient temperature rather than any adverse circumstances related to rain or snowfall associated most closely to injury. As most fractures occurred indoors, precipitation is less likely to play a part in hip fracture occurrence in this population.
Multiple subcutaneous swellings and discharging sinuses were a result of steatitis in three dogs. The steatitis in each case was thought to be associated with a pancreatic carcinoma. The association with pancreatic neoplasia had been suspected in life in only one dog but was confirmed at necropsy in each case. Circulating levels of pancreatic enzymes were increased in the one dog in which they were measured.
Patients with nonsustained VT during the early postrevascularization period who have inducible VT have a high incidence of arrhythmic events. Although this study was not designed to assess the impact of ICD placement on the total mortality of inducible patients, the finding that one third of these patients received appropriate ICD therapy suggests that the device may have a protective effect in these patients.
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