Rhabdomyolysis Without Acute Kidney Injury in a 14-Year-Old Child With a Sedentary Lifestyle.

A 14-year-old African American female patient presented to the emergency department with moderate right calf pain of unknown origin. The pain was present for a couple of days without radiation and progressed with an inability to bear weight. Physical examination revealed tenderness to palpation over the right calf.

Identifying the most prevalent unmet needs of cancer survivors in Australia: A systematic review.

Understanding the unmet needs of cancer survivors is crucial to inform health service planning and optimize survivorship care. This systematic review sought to identify the most prevalent unmet needs of cancer survivors in Australia, and to determine personal, disease, and treatment-related variables correlated with unmet needs. Seventeen studies were included in the review.

A logistic regression investigation of the relationship between the Learning Assistant model and failure rates in introductory STEM courses.

Background: Large introductory STEM courses historically have high failure rates, and failing such courses often leads students to change majors or even drop out of college. Instructional innovations such as the Learning Assistant model can influence this trend by changing institutional norms. In collaboration with faculty who teach large-enrollment introductory STEM courses, undergraduate learning assistants (LAs) use research-based instructional strategies designed to encourage active student engagement and elicit student thinking.

Core trainee boot camp, a method for improving technical and non-technical skills of novice surgical trainees. A before and after study.

Introduction: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives.

Contemporary topics in pediatric pulmonology for the primary care clinician.

Disorders of the respiratory system are commonly encountered in the primary care setting. The presentations are myriad and this review will discuss some of the more intriguing or vexing disorders that the clinician must evaluate and treat. Among these are dyspnea, chronic cough, chest pain, wheezing, and asthma.

Insulin versus oral agents in the management of Cystic Fibrosis Related Diabetes: a case based study.

Background: Insulin is the recommend therapeutic agent of choice for the management of Cystic Fibrosis Related Diabetes (CFRD), despite only sub-optimal reductions in glycemic control and increased morbidity and mortality reported by centers using this agent. The newer insulin sensitizing agents demonstrated to have anti-inflammatory mechanisms may provide an alternative management option for CFRD.

Methods: A prospective case based therapeutic comparison between insulin, sulfonylurea, metformin and thiazolidinedione was observed over one decade with 20 CFRD patients diagnosed using American Diabetes Association guideline standards.

Assessing competence in communication and interpersonal skills: the Kalamazoo II report.

Accreditation of residency programs and certification of physicians requires assessment of competence in communication and interpersonal skills. Residency and continuing medical education program directors seek ways to teach and evaluate these competencies. This report summarizes the methods and tools used by educators, evaluators, and researchers in the field of physician-patient communication as determined by the participants in the "Kalamazoo II" conference held in April 2002.

Physiological role of neuropeptide Y in the regulation of the ascending phase of the peristaltic reflex.

The physiological role of neuropeptide Y (NPY) and of specific NPY receptors in regulating the intestinal peristaltic reflex was examined in three-compartment flat-sheet preparations of rat colon. Graded muscle stretch or mucosal stimulation applied to the central compartment inhibited NPY release in the orad compartment where ascending contraction was measured. NPY and the Y1-receptor agonist [Leu31, Pro34]NPY inhibited, whereas the selective Y1-receptor antagonist BIBP 3226 augmented ascending contraction and substance P (SP) release in the orad compartment induced by muscle stretch or mucosal stimulation.

Subspecialty internal medicine in the United States: in and outside the hospital.

In the U.S. the subspecialties of internal medicine are well integrated in the overall discipline of internal medicine and each one is also unique.

The certification process in adolescent medicine.

The first and second certifying examinations in adolescent medicine were administered jointly by the American Board of Pediatrics (ABP) and the American Board of Internal Medicine (ABIM) on November 15, 1994, to 295 candidates, and on November 18, 1997, to 197 candidates including 170 who were taking the examination for the first time. This report describes the certification process and the characteristics of those taking the first and second examinations in adolescent medicine. The purposes of certification in adolescent medicine, consistent with the purposes of specialty boards, are to improve the quality of patient care during the second decade of life, expand and improve training to include a comprehensive and scientifically based approach to the care of young people as they enter adulthood, and stimulate faculty development and research for the problems of the adolescent population (1).

Future roles and training of internal medicine subspecialists. American Board of Internal Medicine Task Force on Subspecialty Internal Medicine.

While fellowship training programs are being reduced in size to better conform to societal needs, the training of subspecialist basic scientists and clinical investigators must be protected to ensure continued discovery and the scholarly application of knowledge to patient care. Fewer subspecialist clinicians must be appropriately trained to serve as consultants, as principal care providers, and as scholarly leaders and educators in their subspecialties. This article describes the recommendations of the American Board of Internal Medicine for subspecialty training.

Influenza A vaccine decreases the incidence of otitis media in 6- to 30-month-old children in day care.

Objective: To determine if the use of influenza vaccine in children in day care decreases the incidence of otitis media during the influenza season.

Design: Prospective cohort study.

Setting: Eight day-care centers in North Carolina.

A core component of the certification examination in internal medicine.

Objective: To develop and test the psychometric characteristics of an examination of core content in internal medicine.

Design: A cross-sectional pilot test comparing the core examination with the 1988 certifying examination and two pretest examinations.

Setting: The 1988 certifying examination of the American Board of Internal Medicine.

The relevance to clinical practice of the certifying examination in internal medicine.

Objective: To determine the relevance of the initial certifying examination to the practice of internal medicine and the suitability of items used in initial certification for recertification.

Design: Using a matrix-sampling approach, items from the 1991 Certifying Examination were assigned to two sets of judges: directors of the American Board of Internal Medicine (ABIM) and practicing general internists. Each judge rated the relevance of items on a five-point scale.

First American Board of Internal Medicine critical care examination: process and results.

On November 10, 1987, 2,712 diplomates of the American Board of Internal Medicine (ABIM) took the initial examination recognizing added qualifications in critical care medicine (CCM). The 1-day examination, made up of one-best-answer and multiple true/false questions, covered a broad range of topics from the internal medicine domain of CCM. Diplomates were admitted to the examination through four pathways requiring formal training in CCM and two practice pathways; 89% of the diplomates entered through the practice pathways.

The reproducibility of scores from three video formats.

The purpose of this paper was to assess the reproducibility of three simulations presented on videotape: echocardiograms, ventriculograms, and arteriograms. The results indicate that roughly comparable numbers of cases, but different amounts of testing time, are required to achieve specified levels of reproducibility; score interpretation affected reproducibility in the expected ways.