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Background: In 2013-2014, an outbreak of serogroup B meningococcal disease occurred among persons linked to a New Jersey university (University A). In the absence of a licensed serogroup B meningococcal (MenB) vaccine in the United States, the Food and Drug Administration authorized use of an investigational MenB vaccine to control the outbreak. An investigation of the outbreak and response was undertaken to determine the population at risk and assess vaccination coverage., Methods: The epidemiologic investigation relied on compilation and review of case and population data, laboratory typing of meningococcal isolates, and unstructured interviews with university staff. Vaccination coverage data were collected during the vaccination campaign held under an expanded-access Investigational New Drug protocol., Results: Between March 25, 2013, and March 10, 2014, 9 cases of serogroup B meningococcal disease occurred in persons linked to University A. Laboratory typing results were identical for all 8 isolates available. Through May 14, 2014, 89.1% coverage with the 2-dose vaccination series was achieved in the target population. From the initiation of MenB vaccination through February 1, 2015, no additional cases of serogroup B meningococcal disease occurred in University A students. However, the ninth case occurred in March 2014 in an unvaccinated close contact of University A students., Conclusions: No serogroup B meningococcal disease cases occurred in persons who received 1 or more doses of 4CMenB vaccine, suggesting 4CMenB may have protected vaccinated individuals from disease. However, the ninth case demonstrates that carriage of serogroup B Neisseria meningitidis among vaccinated persons was not eliminated., (Copyright © 2015 by the American Academy of Pediatrics.)

Background: AlcoholEdu® for College and other computer-based education programs have been developed to reduce alcohol use and related problems among students., Objectives: This study investigated whether the failure of incoming first-year students to complete AlcoholEdu predicts future high-risk drinking that requires medical attention., Methods: A review of clinical records kept by a single university's health service identified 684 undergraduates (classes of 2007-2011) who had presented for an alcohol event (September 2003 through June 2008). We used survival analysis to determine whether students who partially completed the course or failed to take it were disproportionately represented among student patients who presented with elevated blood alcohol concentration (BAC)., Results: Students who failed to take the online course were 4.64 times more likely than those who completed it to experience an alcohol event (p < .0001), while those students who had partially completed the course were 1.52 times more likely (p < .0001). Amount of online alcohol education and gender were not significantly related to students' measured BAC level., Conclusion: Students who had completed AlcoholEdu were less likely to present for an alcohol event than were students who partially completed or failed to take the course. Campus administrators should consider whether students who fail to complete an online alcohol course should be flagged for more focused interventions (e.g., brief motivational interview, mandatory education classes)., Scientific Significance: This is the first study to show a relationship between first-year college students' non-completion of an online alcohol course and subsequent high-risk drinking that requires medical attention.

This investigation consists of two studies designed to examine perceived fraudulence, its measurement, and the personality traits associated with the experience in young adults. For Study 1, the Perceived Fraudulence Scale (PFS), a new measure constructed for this study, was administered to a sample of 50 college undergraduates, along with several other self-report measures; a semistructured interview and thought-listing exercise were added to provide convergent assessments of perceived fraudulence. Correlational patterns and regression analyses supported the investigators' conceptualization of perceived fraudulence as involving a combination of fraudulent ideation, depressive tendencies, self-criticism, social anxiety, achievement pressures, and self-monitoring skills. Study 2, in which 100 college undergraduates completed several personality questionnaires, replicated the factor structure of the PFS and provided some evidence for the discriminant validity of the construct of perceived fraudulence.