Tracing the Sources and Prevalence of Class 1 Integrons, Antimicrobial Resistance, and Trace Elements Using European Honey Bees.

Surveillance of antimicrobial resistance is essential for an effective One Health response. This study explores the efficacy of European honey bees () for biomonitoring antimicrobial resistance (AMR) in urban areas. Class 1 integrons () are investigated as a universal AMR indicator, as well as associated cassette arrays and trace element contaminants at a city-wide scale.

Four years of training in family medicine: implications for residency redesign.

Background And Objectives: In light of the ongoing consideration for extending the length of residency education in family medicine in the United States, this paper reports the findings from a retrospective, qualitative study of six family physicians that elected to extend their residency training from 3 to 4 years.

Methods: Each participant completed a written questionnaire and a structured personal interview focusing on various aspects of career development resulting from the additional year of training. The authors independently evaluated these interviews to identify major themes.

Clinical inquiries. Do intercontraction intervals predict when a woman at term should seek evaluation of labor?

Intercontraction intervals do not predict when a woman at term should seek evaluation of labor. However, a reduction in the intercontraction interval is associated with active labor. Most primigravidas who have had regular contractions for 2 hours and multigravidas who have had regular contractions for 1 hour have not transitioned into the active phase of labor.

Clinical inquiries. What is the best treatment for gastroesophageal reflux and vomiting in infants?

The literature on pediatric reflux can be divided into studies addressing clinically apparent reflux (vomiting or regurgitation) and reflux as measured by pH probe or other methods. Sodium alginate reduces vomiting and improves parents' assessment of symptoms (strength of recommendation [SOR]: B, small randomized controlled trial [RCT]). Formula thickened with rice cereal decreases the number of postprandial emesis episodes in infants with gastroesophageal reflux disease (GERD) (SOR: B, small RCT).