The National HIV Surveillance Report estimated that by the end of 2008, there were approximately 1.2 million people living with human immunodeficiency virus (HIV) in the United States. Despite the decline in mortality from HIV, the incidence rate has remained steady, at approximately 50,000 cases per year.1 These startling incidence…
Objective: In 2009, a new strain of influenza A, H1N1, was detected in two children in the United States. It spread quickly and became pandemic (pH1N1), disproportionately affecting children. The aim of the present study was to describe our experience with pH1N1 in a large pediatric hospital. Methods: We reviewed…
Objective: To determine the efficacy of an educational curriculum designed for orthopedic surgery postgraduate year 1 (PGY-1) interns to improve initial Orthopedic In-Training Examination (OITE) performance. Methods: A retrospective cohort study was performed that evaluated the PGY-1 intern OITE performance of one residency training program (n = 55) during 7-year…
In “Intimate Partner Violence Education for Medical Students: Toward a Comprehensive Curriculum Revision,” the authors describe a shortage of intimate partner violence (IPV) content in a medical school curriculum, measure personal IPV experience among medical students, and demonstrate that perceived or actual IPV knowledge may be related to IPV content…
Objective: Assess knowledge, attitude, and satisfaction with the newborn screening (NBS) system among pediatric public health leaders in the state of Florida. Methods: Online surveys and open-ended telephone interviews were administered to 10 county medical directors for a state-funded program that oversees NBS. Survey questions examined basic knowledge regarding NBS,…
The newborn screening (NBS) program in the United States began in the 1960s, when phenylketonuria, a treatable but potentially lethal genetic amino acid disorder, was able to be detected by a simple system for collecting and analyzing infant blood samples on a small filter paper blood spot. At present, up…
With the 2011–2012 influenza season in full swing, lessons learned from the 2009 H1N1influenza pandemic provide insight into effective treatment strategies for preventing the occurrence of influenza and for controlling morbidity and mortality rates in groups identified as being at high risk for infection and severe complications, especially children. The…
Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of the existing best evidence in making decisions about the care of individual patients.1 This concept was first promoted in the 1980s and has since become a critical element of medical education. More than a decade ago, the Association of…
Background: Understanding providers’ perspective on preexposure prophylaxis (PrEP) would facilitate planning for future implementation. Methods: A survey of care providers from sexually transmitted disease and family planning clinics in South Carolina and Mississippi was conducted to assess their knowledge, perception, and willingness to adopt PrEP. Multivariable logistic and general linear…
Objectives: Previous studies examined the prevalence and efficacy of intimate partner violence (IPV) education in medical school. We documented IPV content exposure shortage in medical school curriculum at a southern university health science center and measured personal IPV experience among medical students. Methods: Responses were gathered from a 67-item survey…
Objective: Because household firearms pose a risk to children, this study examined firearms accessibility in North Carolina households with children. Methods: In 2008, parents completing the North Carolina Child Health Assessment and Monitoring Program survey were asked how many firearms they owned and their firearms storage practices. Weighted analyses provided…
Depending upon the method of measurement, hypocalcemia occurs in 15% to 88% and hypercalcemia occurs in 15% of hospitalized patients. Ionized calcium should be measured in place of total serum calcium to avoid errors related to hypoalbuminemia, which is seen commonly in acutely ill patients. Symptomatic hypocalcemia requires prompt intravenous…
Objectives: Although conceptually there is agreement on how the Patient-Centered Medical Home (PCMH) should be organized, there is little information regarding which PCMH components are the most important to patients. Methods: An anonymous, voluntary survey was administered to patients at three US academic medical centers. Questions sought opinions regarding the…
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