Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030.

North Carolina is a leader in family medicine, but a growing health care chasm exists between the state's urban centers and rural areas. Training family medicine residents in rural communities can address disparities in health care access and improve rural population health metrics for all subsets of the population, goals that align well with renewed state and national strategies.

Representation of Women in Ophthalmology Receiving Private Industry Funding 2015-2018.

Purpose: To report the representation of female ophthalmologists receiving private industry funding from 2015 through 2018, and to compare to previously observed trends.

Design: Retrospective, comparative trend study METHODS: The study population consisted of US ophthalmologists listed in CMS Open Payments Database. Data were reviewed for payments for research, consulting, honoraria, industry grants, faculty and speakers, royalties, and services other than consulting.

Long-term impact of a school-based nutrition intervention on home nutrition environment and family fruit and vegetable intake: A two-year follow-up study.

Long-term data on maintenance of intervention effects of health promotion programs targeting fruit and vegetable (F&V) intake in children is lacking. We conducted a two-year follow-up of Brighter Bites, a school-based nutrition education and food co-op intervention found to be effective in increasing child intake of F&V. A one-group, pre-post evaluation design was used to assess the two-year post intervention impact of the program on child and parent dietary intake and home nutrition environment.

Study Design and Protocol to Assess Fruit and Vegetable Waste at School Lunches.

This paper has two main aims: (1) to describe the design, implementation, and testing of a protocol to assess longitudinal changes in F&V plate waste conducted as part of a quasi-experimental study, (2) to provide baseline descriptive data on school demographics and study participants. This paper describes the protocol development and implementation, and presents baseline data of a longitudinal fruit and vegetable (F&V) plate waste study. The protocol was developed to determine the preliminary impact of Brighter Bites, a 16-week school-based nutrition intervention, on F&V wasted and nutrients wasted from school lunches.

Impact of a Pilot School-Based Nutrition Intervention on Fruit and Vegetable Waste at School Lunches.

Objective: To determine the preliminary impact of the Brighter Bites nutrition intervention on decreasing fruit and vegetable (F&V) waste at school lunches among fourth- and fifth-grade children.

Method: This was a nonrandomized pre-post-controlled study in Houston and Dallas, TX. Two schools received the Brighter Bites intervention (n = 76), and 1 comparison school (n = 39), during the 2017-2018 school year.

Factors Affecting Specialty Choice Among Doctors Who Received Tuition Scholarships.

Background And Objectives: The United States is projected to have a shortage of up to 46,000 primary care physicians by 2025. In many cases, medical students appear to select other specialties for financial reasons, including educational debt. Physicians who were part of two BS/MD programs and received full tuition and fee scholarships for college and medical school were surveyed to examine factors that may have impacted their specialty choice.

A Public Health Opportunity Found in Food Waste.

A food waste problem coexists with food insecurity and obesity. Brighter Bites, a school-based food cooperative program, successfully channels primarily donated produce to low-income communities and provides nutrition education, creating an increased demand for and intake of fruits and vegetables. We present the framework used in Brighter Bites and results of operationalizing this framework during 3 years of implementation in Houston, Texas.

Differences in Clinical Activity and Medicare Payments for Female vs Male Ophthalmologists.

Importance: The number of women in ophthalmology is rising. Little is known about their clinical activity and collections.

Objective: To examine whether charges, as reflected in reimbursements from the Centers for Medicare & Medicaid Services (CMS) to ophthalmologists, differ by sex and how disparity relates to differences in clinical activity.

Representation of Women With Industry Ties in Ophthalmology.

Importance: Women in ophthalmology are growing in number and have made strides in traditional metrics of professional achievement. Professional ties to industry represent another potential means of career advancement, recognition, and income.

Objective: To report the representation of women among ophthalmologists receiving industry remuneration for research, consulting, honoraria, grants, royalties, and faculty/speaker roles.

Conservative management of a large keratocystic odontogenic tumour.

Since the term odontogenic keratocyst first appeared in the literature, controversy has surrounded its terminology and surgical management. Recent articles would suggest that surgical opinion is still divided between aggressive radical resection and a more conservative approach. We present an interesting case of a large keratocystic odontogenic tumour shown to have eroded through bony cortices and present within soft tissues that was satisfactorily managed conservatively by decompression and secondary enucleation.

[18F]-fluoride positron emission tomography for imaging condylar hyperplasia.

The management of condylar hyperplasia depends on the diagnosis of continued growth in the affected condyle, and there is currently no satisfactory way of imaging it. [(18)F]-fluoride positron emission tomography (PET) was included in the investigation of 5 patients who were suspected of having condylar hyperplasia, and the results were correlated with the operative findings. The technique correctly identified condylar hyperplasia in all patients.

Polymorphous low-grade adenocarcinoma--a rare and aggressive entity in adolescence.

Polymorphous low-grade adenocarcinoma (PLGA) is an uncommon tumour that usually affects the minor salivary glands, particularly in the palate. It is rare in young patients, and here we report a case in a teenage girl. She presented at the age of 16, although the lesion had been noticed 2 years previously.

The use of a face mask for postoperative retention in cleft lip and palate patients.

Surgical relapse in cleft lip and palate patients following Le Fort I osteotomy can be pronounced due to the presence of scar tissue from previous surgical episodes. This article reviews the literature on the use of protraction face masks. It describes the use of a face mask in the postoperative management of osteotomy patients undergoing surgery for the correction of severe skeletal Class III relationships.

Polyvinylsiloxane dental bite registration material used to splint a composite graft of the nasal rim.

We describe the construction of a nostril splint made from heavy body silicone-based dental impression material. This bio-compatible material supported a large chondrocutaneous auricular graft during early healing. The splint immobilized and maintained the shape of the alar rim and was further used nightly during the expected period of wound contraction.

A broken needle in the pterygomandibular space: report of a case and review of the literature.

Modern manufacture and materials have made needle breakage rare, but not impossible. Retrieval of the needle fragment may be helped by various localizing techniques. The authors outline and discuss these techniques, and describe the successful removal of a fractured needle from the pterygomandibular space.

Surgical access to an impacted lower third molar by sagittal splitting of the mandible: a case report.

It is well documented that surgical removal of an impacted mandibular third molar may damage the inferior alveolar nerve. Assessing the likelihood of injury depends to a great extent on preoperative radiographic examination, to determine the proximity of the tooth to the nerve. If the nerve and tooth are closely related the roots should be divided and removed separately.

Surgical ciliated (postoperative maxillary) cysts following mid-face osteotomies.

Surgical ciliated (postoperative maxillary) cysts have been reported extensively as occurring 6 months to 50 years after radical surgery for maxillary sinusitis. Three cases are presented in which these aggressive cysts occurred 3 to 4 years after Le Fort I, II and III mid-face osteotomies. The presentation, treatment and possible aetiology are discussed and some attempt made to clarify the descriptive terms used in the literature.

Septic arthritis of the temporo-mandibular joint--a problematic diagnosis.

A rare case of chronic septic arthritis of the temporo-mandibular joint is described, which presented as a pre-auricular swelling several weeks after a blow to the chin. Although the history indicated an inflammatory process precipitated by trauma, the clinical findings suggested a neoplastic aetiology. The treatment and problems in making an early diagnosis in this condition are discussed.

Subphrenic and mediastinal abscess formation: a complication of Ludwig's angina.

A fatal case of cervical cellulitis is described in which mediastinal and subphrenic abscesses formed. Subphrenic abscess formation is a previously unrecorded complication of oro-pharyngeal infection. The anatomical pathways involved in the spread of infection from the neck to the abdomen and the difficulties in obtaining an airway in such a case are discussed.