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Objective: The purpose of this study was to evaluate the feasibility of a flipped classroom progamme, designed and implemented by medical students, in communicating nutrition education to fourth-grade school students aged 9-10 years and to characterise teachers' assessments of the progamme, which was designed to minimise the burden placed on teachers. Design: Each student--participant served as control before and as case after exposure to the novel healthSLAM (hS) curriculum. The results on the pre-tests and post-tests were matched and compared. Teachers completed a one-time survey after observing the new curriculum. Setting: The study was conducted in 2013 in the fourth-grade classrooms of an elementary school in Derry Township, Pennsylvania, USA. Methods: The hS progamme included a web-based video that delivered nutrition education didactics and a classroom portion in which medical students guided exercises to reinforce nutrition concepts discussed in the video. A pre-test and post-test were given to students, and teachers completed a survey to determine the effects of the curriculum on nutrition knowledge, and teacher surveys were administered to assess the appropriateness and acceptability of the curriculum. In all, 166 students' pre- and post-tests from nine different classrooms were analysed. Results: Significant improvements in nutrition knowledge in both median and mean test scores were found (p < 0.001), and the raw pre-test and post-test score distributions were found to be homogeneous across the nine different classrooms studied. Teachers reported the new curriculum to be feasible and grade-appropriate. Conclusion: The hS programme, rooted in flipping pedagogy using a video didactic lecture and an activity-based classroom session to reinforce concepts, appeared to communicate nutrition information successfully and was seen as both feasible and acceptable by teachers.

Introduction Colorectal cancer is the second leading cause of cancer deaths in the USA, and screening tests are underutilized. The aim of this study was to determine the proportion of individuals at average risk who utilized a recommended initial screening test in a universal healthcare coverage system. Materials and Methods This is a retrospective cohort study of active duty and retired military members as well as civilian beneficiaries of the Military Health System. Individuals born from 1960 to 1962 and eligible for full benefits on their 50th birthday were evaluated. Military rank or rank of benefits sponsor was used to determine socioeconomic status. Adherence to the U.S. Preventive Services Task Force guidelines for initial colorectal cancer screening was determined using "Current Procedural Terminology" and "Healthcare Common Procedure Coding System" codes for colonoscopy, sigmoidoscopy, fecal occult blood test, and fecal immunohistochemistry test. Average risk individuals who obtained early screening ages 47 to 49 were also identified. Results This study identified 275,665 individuals at average risk. Of these, 105,957 (38.4%) adhered to screening guidelines. An additional 19,806 (7.2%) individuals were screened early. Colonoscopy (82.7%) was the most common screening procedure. Highest odds of screening were associated with being active duty military (odds ratio [OR] 3.63, 95% confidence interval [CI] 3.43 to 3.85), having highest socioeconomic status (OR 2.37, 95% CI 2.31 to 2.44), and having managed care insurance (OR 4.36, 95% CI 4.28 to 4.44). Conclusions Universal healthcare coverage does not ensure initial colorectal cancer screening utilization consistent with guidelines no does it eliminate disparities. [ABSTRACT FROM AUTHOR]

The article describes the case of congenital esophageal stenosis (CES) secondary to a congenital muscular ring in a 17-month-old baby boy with chronic solid food refusal. Topics covered include differential diagnosis toward CES, risk of perforation in endoscopic dilation and surgical interventions and outcome of the robotic-assisted thoracoscopic esophageal myotomy with endoscopic guidance.

Objective: The purpose of this study was to evaluate the feasibility of a flipped classroom progamme, designed and implemented by medical students, in communicating nutrition education to fourth-grade school students aged 9–10 years and to characterise teachers’ assessments of the progamme, which was designed to minimise the burden placed on teachers. Design: Each student–participant served as control before and as case after exposure to the novel healthSLAM (hS) curriculum. The results on the pre-tests and post-tests were matched and compared. Teachers completed a one-time survey after observing the new curriculum. Setting: The study was conducted in 2013 in the fourth-grade classrooms of an elementary school in Derry Township, Pennsylvania, USA. Methods: The hS progamme included a web-based video that delivered nutrition education didactics and a classroom portion in which medical students guided exercises to reinforce nutrition concepts discussed in the video. A pre-test and post-test were given to students, and teachers completed a survey to determine the effects of the curriculum on nutrition knowledge, and teacher surveys were administered to assess the appropriateness and acceptability of the curriculum. In all, 166 students’ pre- and post-tests from nine different classrooms were analysed. Results: Significant improvements in nutrition knowledge in both median and mean test scores were found (p < .001), and the raw pre-test and post-test score distributions were found to be homogeneous across the nine different classrooms studied. Teachers reported the new curriculum to be feasible and grade-appropriate. Conclusion: The hS programme, rooted in flipping pedagogy using a video didactic lecture and an activity-based classroom session to reinforce concepts, appeared to communicate nutrition information successfully and was seen as both feasible and acceptable by teachers. [ABSTRACT FROM AUTHOR]