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Background: The usefulness of routinely examining family history in primary care practice is uncertain. Purpose: To assess the beneficial and adverse effects of collecting family history in primary care populations; how well family history predicts individual disease risk; and how accurately patients report it. Data Sources: English-language studies in MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and PsycINFO from 1995 to 2 March 2009. Study Selection: Two independent reviewers selected studies that met question-specific eligibility criteria. These included controlled and uncontrolled intervention studies of systematic family history collection and uptake of preventive interventions or adverse effects, longitudinal and cross-sectional studies that examined family history and disease frequency, and studies in which reported family history was validated against relatives' true disease status. Data Extraction: Information about study quality, setting, and findings was extracted using standardized protocols. Data Synthesis: Two uncontrolled studies provided insufficient evidence to assess whether querying about family history improves any outcomes. One randomized, controlled trial and 2 uncontrolled studies provided weak evidence that some patients experienced a reversible, short-term increase in anxiety associated with family history taking. In 41 studies, different family history definitions were associated with sensitivities of 0 to 0.51 and specificities of 0.66 to 1.00 for detection of disease risk, and 0 to 0.83 and 0.48 to 1.00, respectively, for detection of prevalent disease. Twenty-three studies suggested that absence of disease in relatives was more accurately reported than presence of disease and that reporting accuracy was higher for information related to first-degree relatives than more distant relatives. Limitation: Few studies were designed to address the specific questions of interest. Conclusion: Insufficient evidence evaluates how to collect family history information accurately in the primary care setting and the effects of taking family history on patient outcomes. Patients seem to correctly report the absence of disease in relatives more often than the presence of disease. Primary Funding Source: Agency for Healthcare Research and Quality. [ABSTRACT FROM AUTHOR]

The article focuses on Asian Pacific American (APA) students at community colleges. Over the last several decades, APA students have captured public and scholarly attention for their increasingly visible presence in the halls of academia. Most of that attention has been focused on either supporting or debunking the widespread portrayal of Asian Pacific Americans as a model minority. However, in the news media and in higher education research, a significant subset of the APA student population has largely been overlooked, APA students at the nation's community colleges. Over 40% of all APA students enrolled in higher education in the U.S. attend community colleges, and in 2000-2001, APAs made up 15% of all students enrolled in two-year institutions. Though few scholars have specifically studied APA community college students, the developing body of literature on APA undergraduate students can inform the understanding of and ability to serve APA students at the community college.

Features several environmental resources available on the Internet. U.S. Environmental Protection Agency's (EPA) integrated risk information system; EPA chemical accident histories and investigations; International Toxicity Estimates for Risk database; AIRnow's links to real-time air pollution data; Acid rain, atmospheric deposition and precipitation chemistry; Regulatory air models.

Examines the issues related to immigrant students at community colleges in the U.S. Immigration trends from 1960 to 2000 in the country; Immigrant enrollments at community colleges; Policy issues related to immigrant enrollments; Performance of immigrant students at the colleges; Response of the colleges to rising immigrant student populations on their campuses.

Recalls the life of conductor Gustav Hinrichs and his role in the development of opera in Philadelphia. Brief biography; Love of teaching; History of opera in Philadelphia; Hinrichs' physical appearance.

Discusses the results of a study in which information was collected from a multiethnic sample of 277 homeless men and women in Miami, Fla. to determine the dietary intakes and nutritional status of the homeless. Brief history included; Detailed 24-hour recall; Methods; Data collection; Results; Correlation tests; More.

Comments on the importance of ambulatory nursing care in coronary artery bypass surgery. Use of electronic monitors for nursing practice; Problems associated with ambulation-lack complications; Relationship between ambulation patterns and arrhythmias.

Presents the proceedings of the 48th Annual Meeting of the American College Health Association held April 14-17, 1970 in Boston, Massachusetts. List of technical and scientific exhibits; Council and committee meetings and reports; Association luncheon; Award presentations; Schedule of future annual meetings.

The Occupational Safety and Health Administration (OSHA) On-Site Consultation Service provides assistance establishing occupational health and safety management systems (OHSMS) to small businesses. The Safety and Health Program Assessment Worksheet (Revised OSHA Form 33) is the instrument used by consultants to assess an organization's OHSMS and provide feedback on how to improve a system. A survey was developed to determine the usefulness of the Revised OSHA Form 33 from the perspective of Colorado OSHA consultation clients. One hundred and seven clients who had received consultation services within a six-year period responded to the survey. The vast majority of respondents indicated that the Revised OSHA Form 33 accurately reflected their OHSMS and that information provided on the Revised OSHA Form 33 was helpful for improving their systems. Specific outcomes reported by the respondents included increased safety awareness, reduced injuries, and improved morale. The results indicate that the OHSMS assistance provided by OSHA consultation is beneficial for clients and that the Revised OSHA Form 33 can be an effective tool for assessing and communicating OHSMS results to business management. Detailed comments and suggestions provided on the Revised OSHA Form 33 are helpful for clients to improve their OHSMS.

The Glasgow Coma Scale (GCS) is an international tool used to measure the level of consciousness for traumatically injured patients. One Level I and 3 Level II Trauma Centers in our Health Care System perceived a deficiency in the documentation of the GCS. An audit was performed and insufficient documentation was confirmed. An educational plan was developed and implemented to improve documentation. A reaudit was performed to determine the success of these interventions. Although improvement was demonstrated, additional action was taken to enhance documentation in the electronic medical record.

The cost of whole genome sequencing is dropping rapidly. There has been a great deal of enthusiasm about the potential for this technological advance to transform clinical care. Given the interest and significant investment in genomics, this seems an ideal time to consider what the evidence tells us about potential benefits and harms, particularly in the context of health care policy. The scale and pace of adoption of this powerful new technology should be driven by clinical need, clinical evidence, and a commitment to put patients at the centre of health care policy., Competing Interests: The authors have declared that no competing interests exist.

Significant strides have been made in recent years to reduce maternal morbidity and mortality rates around the world. But in the United States, maternal mortality rates have increased from 6.6/100,000 live births in the 1980s and 1990s to somewhere between 13.3/100,000 live births, as reported by the Centers for Disease Control and Prevention, and 21/100,000 live births, as reported by the World Health Organization. This article discusses factors influencing this trend, and explores organizations, systems and programs that have shown promise for reducing maternal morbidity and mortality., (© 2013 AWHONN.)

The ABR performs practice analysis every 3 years, according to its strategic plan, in an effort to strengthen the content validity of its qualifying and certifying examinations as well as its maintenance of certification examinations. A nationwide survey of diagnostic radiologists was conducted in July 2010 for the purpose of determining the critically important and frequently performed activities in 12 clinical categories. The survey instrument was distributed electronically to 17,721 members of the ACR, with a unique identification code for each individual. A 5-point scale was established for both frequency and importance variables. The frequency scale ranged from 1 to 5 as follows: 1 = not applicable, 2 = occasionally, 3 = monthly, 4 = weekly, and 5 = daily. The scale for importance also ranged from 1 to 5: 1 = not applicable, 2 = not important, 3 = somewhat important, 4 = important, and 5 = essential. A total of 2,909 diagnostic radiologists (19.32%) participated. Of these, 2,233 (76.76%) indicated that they spent ≥50% of their time in clinical practice. Because of its brevity of the list of the activities, results for the gastrointestinal category are presented in this article. The list of activities weighted according to importance and frequency is presented in this article and, as illustrated, could become the foundation for developing a more detailed blueprint for the gastrointestinal category certifying examinations in diagnostic radiology. Findings on demographic information are also presented., (Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.)

This report was prepared by those who are closely involved in the radiation oncology initial qualification examinations. The primary purpose of this article is to disseminate information concerning test preparation, test administration, scoring, and reporting processes of the ABR. The authors hope that the information contained in the article will be helpful to radiology residents, program directors, and other interested parties., (Copyright © 2011 American College of Radiology. Published by Elsevier Inc. All rights reserved.)

The purpose of this article is to inform radiology residents, program directors, and other interested parties of the processes involved in developing, administering, and scoring the American Board of Radiology (ABR) diagnostic radiology qualifying (written) examinations. The residents, once certified, will have a lifelong professional relationship with the ABR. It is important for the ABR to be transparent about the processes it uses to ensure that its examinations are fair, valid, and reliable so that residents and their program directors have accurate information about these high-stakes examinations.