Introducing Life-long Learning Skills in a Patient Presentation Problem-Based Curriculum: The Case for Librarian Integration.

Medical students must learn how to find, critically appraise, and apply high-quality information to support their clinical decisions. To reinforce these skills, the Hackensack Meridian School of Medicine embedded medical librarians into a longitudinal case-based, problem-based learning curriculum, where they provide individualized feedback on student's skills in this area.

Comparative effectiveness of propranolol and botulinum for the treatment of essential voice tremor.

Objectives/hypothesis: To assess the comparative effectiveness of botulinum toxin and propranolol in patients with essential vocal tremor (EVT).

Study Design: Individual prospective cohort study.

Methods: Study patients were recruited at the Emory Voice Center from patients seeking treatment for EVT.

Incidence of and risk factors for community acquired pneumonia in US HIV-infected children, 2000-2005.

The incidence of and risk factors for community-acquired pneumonia (CAP) are described from 2000 to 2005 in a multicenter US cohort of HIV-infected children. In 736 patients, 87 episodes of CAP (33.2 events/1000 person-years) had a mean CD4% of 23% (controls: 30%) and mean CD4 cell count of 668 cells/μl (controls: 870 cells/μl).

Contemporary costs of HIV healthcare in the HAART era.

Background: The delivery of HIV healthcare historically has been expensive. The most recent national data regarding HIV healthcare costs were from 1996-1998. We provide updated estimates of expenditures for HIV management.

Use of outpatient mental health services and psychotropic medications among HIV-infected patients in a multisite, multistate study.

Objective: Although co-occurring psychiatric disorders are highly prevalent among those with HIV, little is known about the use of outpatient mental health services (MHS) and psychotropic medication in the highly active antiretroviral therapy (HAART) era.

Methods: During 2003, 951 patients were interviewed at 14 sites in the HIV Research Network. Patients were questioned about use of MHS and psychotropic medications.

Health-related quality of life in HIV-infected patients: the role of substance use.

HIV infection and substance use disorders are chronic diseases with complex contributions to health-related quality of life (HRQOL). We conducted a cross-sectional survey of 951 HIV-infected adults receiving care at 14 HIV Research Network sites in 2003 to estimate associations between HRQOL and specific substance use among HIV-infected patients. HRQOL was assessed by multi-item measures of physical and role functioning, general health, pain, energy, positive affect, anxiety, and depression.

Impact of patient race on patient experiences of access and communication in HIV care.

Background: Patient-centered care--including the domains of access and communication--is an important determinant of positive clinical outcomes.

Objective: To explore associations between race and HIV-infected patients' experiences of access and communication.

Design: This was a cross-sectional survey.

Substance abuse treatment in human immunodeficiency virus: the role of patient-provider discussions.

Substance abuse treatment is associated with decreases in human immunodeficiency virus (HIV) risk behavior and can improve HIV outcomes. The purpose of this study was to examine factors associated with substance abuse treatment utilization, including patient-provider discussions of substance use issues. We surveyed 951 HIV-infected adults receiving care at 14 HIV Research Network primary care sites regarding drug and alcohol use, substance abuse treatment, and provider discussions of substance use issues.