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Mark, Set Go! is a school-based intervention addressing pediatric obesity in an urban, underserved community. This study evaluates its impact on participants' knowledge, attitudes and behavior related to nutrition, physical activity and screen time. METHOD: Participants, 954 fifth- and sixth-grade public school students, received a 9-week classroom-based intervention led by high school peer educators. A matched design analyzed paired data from pre/post intervention knowledge, attitude and behavior surveys, heights, weights and 24 hour pedometer recordings. RESULTS: 787 students (82.4%) completed both a preand post-test. Participants demonstrated improvement in knowledge, self-reported screen time, daily exercise and sweetened beverage consumption. Changes were greater for girls. A statistically significant decrease in BMI was noted overall, for boys and for overweight students, among the 443 participants (46%) with paired BMI data. CONCLUSIONS: This school-based peer educator led intervention was effective in improving participant knowledge and healthy behaviors. [ABSTRACT FROM AUTHOR]

There is a shortage of physicians to care for underserved populations. Medical educators at The Warren Alpert Medical School of Brown University have used five years of Health Resources and Services Administration funding to train medical students to provide outstanding primary care for underserved populations. The grant has two major goals: 1) to increase the number of graduating medical students who practice primary care in underserved communities ("Professional Development"); and 2) to prepare all medical school graduates to care for underserved patients, regardless of specialty choice ("Curriculum Development"). Professional Development, including a new scholarly concentration and an eight-year primary care pipeline, has been achieved in partnership with the Program in Liberal Medical Education, the medical school's Admissions Committee, and an Area Health Education Center. Curriculum Development has involved systematic recruitment of clinical training sites and diseasespecific curricula including tools for providing care to vulnerable populations. A comprehensive, longitudinal evaluation is ongoing. [ABSTRACT FROM AUTHOR]

Kaposi sarcoma is a rare vascular malignancy associated with HHV-8 infection. Four variants of Kaposi sarcoma have been described: Classic, African, HIV-associated, and iatrogenic. Iatrogenic Kaposi sarcoma is typically associated with immunosuppression and organ transplantation. We present a case of iatrogenic Kaposi sarcoma associated with tofacitinib therapy. A 69-year-old woman with rheumatoid arthritis receiving tofacitinib presented with multiple firm, purple-red nodules and brown plaques on the left lower extremity and a single lesion on the right medial calf. Clinicopathologic correlation confirmed a diagnosis of Kaposi sarcoma. Tofacitinib was discontinued and she was started on Alitretinoin 0.1% gel bid. The purple-red Kaposi sarcoma nodules decreased 50% in size after 4 months and resolved at 1 year off the tofacitinib and initiation of alitretinoin gel. As the use of immunomodulators and biologics continues to expand, awareness of this association is important for prompt diagnosis and management. [ABSTRACT FROM AUTHOR]

BACKGROUND: The patient-centered medical home (PCMH) is an ideal primary care model for patients across the lifespan. Family Medicine (FM) practice and training often address adults more than children/adolescents. Few studies describe the efficacy of education programs seeking to enhance PCMH-based care of children/adolescents. METHODS: At the Brown FM Residency in Pawtucket, Rhode Island (RI), from 2015-2020, we aimed to enhance care of children/adolescents through a HRSA-funded program that enhanced PCMH-based care for children/adolescents and related resident education. Our mixedmethods evaluation assessed learner experiences. Vaccination data assessed patient impact. RESULTS: 119/155 (77%) residents completed surveys over four years and learning and performance improved, especially in PCMH principles and behavorial health (BH) competencies. Vaccination rates improved. Qualitative interviews supported quantitative results. CONCLUSIONS: Enhancing care for children/adolescents within a FM residency clinic requires a multi-pronged approach. This initiative improved children/adolescents' care and increased residents' learning and performance. [ABSTRACT FROM AUTHOR]

The article discusses the integration of the refugee doctors in the health care system in U.S and Great Britain. It talks about the right of asylum for the refugees. It discusses the regulations pertaining to employment of the refugee doctors. It discusses the employment related training provided to the doctors and the license offered to them for practicing medicine.

Kaposi sarcoma is a rare vascular malignancy associated with HHV-8 infection. Four variants of Kaposi sarcoma have been described: Classic, African, HIV-associated, and iatrogenic. Iatrogenic Kaposi sarcoma is typically associated with immunosuppression and organ transplantation. We present a case of iatrogenic Kaposi sarcoma associated with tofacitinib therapy. A 69-year-old woman with rheumatoid arthritis receiving tofacitinib presented with multiple firm, purple-red nodules and brown plaques on the left lower extremity and a single lesion on the right medial calf. Clinicopathologic correlation confirmed a diagnosis of Kaposi sarcoma. Tofacitinib was discontinued and she was started on Alitretinoin 0.1% gel bid. The purple-red Kaposi sarcoma nodules decreased 50% in size after 4 months and resolved at 1 year off the tofacitinib and initiation of alitretinoin gel. As the use of immunomodulators and biologics continues to expand, awareness of this association is important for prompt diagnosis and management.

Background: Malnutrition is a major cause of childhood illness, stunted growth and death worldwide. A supplemental nutrition program for young children was implemented in Guachipilincito, Honduras. This study explores early successes and challenges to implementing this program., Methods: We conducted a qualitative, semi-structured, key informant interview study in 2012. Two researchers analyzed interview transcripts using the immersion/crystallization method of qualitative analysis., Results: The program evolved from addressing macronutrient deficiency in 2010, to targeting micronutrient deficiency. Successes include: consistent food distribution, positive community feedback and establishment of a Honduran community oversight committee. Challenges include: tracking growth data, sharing of food among family members, and long-term sustainability. Next steps include: obtaining stable funding, utilizing local food suppliers, and increasing crop diversity. Participants identified cultural and economic factors contributing to challenges with these steps., Conclusion: While the feeding program is having successes, it still faces many challenges. Additional interviews with Honduran-based staff, community leaders and program recipients may identify the best ways to address these challenges.