Let's Care for Those in Need-Today: Collaborating to Solve the Uninsured Crisis in America.

This editorial is a call to action for medical communities across the country to address the uninsured crisis in their communities. Thirty million Americans without insurance need access to affordable, high-quality care. An insurance solution may be years away, so we must start today.

Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country.

Interview with Lawrence Weed, MD- The Father of the Problem-Oriented Medical Record Looks Ahead.

I first met Lawrence Weed, MD, in 1972 when I was a third-year medical student at the University of Vermont. To this day I remember his passion for a disciplined approach to medical record documentation to optimize the care provided to each individual patient.Now, 35 years later, I was privileged to meet with Dr Weed at his home in Vermont.

Long-term phosphorus immobilization by a drinking water treatment residual.

Excessive soluble P in runoff is a common cause of eutrophication in fresh waters. Evidence indicates that drinking water treatment residuals (WTRs) can reduce soluble P concentrations in P-impacted soils in the short term (days to weeks). The long-term (years) stability of WTR-immobilized P has been inferred, but validating field data are scarce.

Decomposition and plant-available nitrogen in biosolids: laboratory studies, field studies, and computer simulation.

This research combines laboratory and field studies with computer simulation to characterize the amount of plant-available nitrogen (PAN) released when municipal biosolids are land-applied to agronomic crops. In the laboratory studies, biosolids were incubated in or on soil from the land application sites. Mean biosolids total C, organic N, and C to N ratio were 292 g kg(-1), 41.