Program Directors' Perceptions of Resident Education in Women's Health: A National Survey.

Background: Despite professional societies' emphasis on women's health in internal medicine (IM) resident curricula, national implementation has varied. This study describes IM program directors' perceptions of women's health topics that residents should master and the current state of women's health education in IM residency programs.

Materials And Methods: We recruited 408 program directors of IM residency programs to complete an electronic cross-sectional survey.

Hormonal correlates of male life history stages in wild white-faced capuchin monkeys (Cebus capucinus).

Much attention has been paid to hormonal variation in relation to male dominance status and reproductive seasonality, but we know relatively little about how hormones vary across life history stages. Here we examine fecal testosterone (fT), dihydrotestosterone (fDHT), and glucocorticoid (fGC) profiles across male life history stages in wild white-faced capuchins (Cebus capucinus). Study subjects included 37 males residing in three habituated social groups in the Área de Conservacíon Guanacaste, Costa Rica.

An estimate of avian mortality at communication towers in the United States and Canada.

Avian mortality at communication towers in the continental United States and Canada is an issue of pressing conservation concern. Previous estimates of this mortality have been based on limited data and have not included Canada. We compiled a database of communication towers in the continental United States and Canada and estimated avian mortality by tower with a regression relating avian mortality to tower height.

Critical assessment of claims regarding management of feral cats by trap-neuter-return.

Many jurisdictions have adopted programs to manage feral cats by trap-neuter-return (TNR), in which cats are trapped and sterilized, then returned to the environment to be fed and cared for by volunteer caretakers. Most conservation biologists probably do not realize the extent and growth of this practice and that the goal of some leading TNR advocates is that cats ultimately be recognized and treated as "protected wildlife." We compared the arguments put forth in support of TNR by many feral cat advocates with the scientific literature.

Delirium prevention for cognitive, sensory, and mobility impairments.

The purpose of this study was to determine the effectiveness of a protocol designed to prevent delirium in hospitalized elders with the risk factors of dementia and/or vision, hearing, and/or mobility impairments. A group of 80 patients with risk factors hospitalized before the protocol was implemented was matched with a group of 80 patients admitted after the implementation of the protocol. Records of patients in both groups were reviewed to identify patients with delirium.

Aging and delirium: too much or too little pain medication?

Review of the literature revealed an association of pain and delirium in hip fracture patients. The literature was sparse addressing other types of patients. The purpose of the present study was therefore to examine the association of pain and delirium in medical and surgical patients.

Management by assertion: beavers and songbirds at Lake Skinner (Riverside County, California).

Management of ecological reserve lands should rely on the best available science to achieve the goal of biodiversity conservation. "Adaptive Resource Management" is the current template to ensure that management decisions are reasoned and that decisions increase understanding of the system being managed. In systems with little human disturbance, certain management decisions are clear; steps to protect native species usually include the removal of invasive species.

Evaluation of the Centers for Disease Control and Prevention's recommendations regarding routine testing for human immunodeficiency virus by an inpatient service: who are we missing?

Objective: To assess the proportion of hospitalized patients who tested positive for human immunodeficiency virus (HIV) by a routine inpatient testing service, as recommended by the Centers for Disease Control and Prevention, who might not have been identified had routine testing not been offered.

Patients And Methods: In this retrospective cohort study, the medical records of patients who tested HIV positive by the inpatient testing service between 1999 and 2003 were compared with the medical records of inpatients who tested HIV negative by the inpatient testing service and the medical records of patients who tested HIV positive in ambulatory settings. We compared HIV risk factors, discharge diagnoses, CD4 cell counts, and HIV RNA concentrations.