Purpose As graduate medical education (GME) moves into the Next Accreditation System (NAS), programs must take a critical look at their current models of evaluation and assess how well they align with reporting outcomes. Our objective was to assess the impact on house staff evaluation scores when transitioning from a Dreyfus-based model of evaluation to a Milestone-based model of evaluation. Mi...

The capacity to react quickly to species introductions and to plan effective management countermeasures is always difficult, and methodology is lacking. This paper summarizes the different steps of a decision-making protocol applied to the recent establishment of an exotic species, the House Sparrow Passer domesticus, in the Lesser Antilles. This pest bird damages crops, fruits and stored food ...

INTRODUCTION It has become common to use scales to measure the degree of involvement of facial paralysis in phonoaudiological clinics. OBJECTIVE To analyze the inter- and intra-rater agreement of the scales of degree of facial paralysis and to elicit point of view of the appraisers regarding their use. METHODS Cross-sectional observational clinical study of the Chevalier and House & Brackma...

York House Hospice is another hospice started on a small scale and making great accomplishments in hospice care. This author worked for some time as a thanatologist with a hospital. When the hospital closed, the author determined to open a hospice for AIDS patients. York House Hospice is a paradigm of the hard work and spirit of hospice. Here is the story of its beginning.

House flies are of major concern as vectors of food-borne pathogens to food crops. House flies are common pests on cattle feedlots and dairies, where they develop in and feed on animal waste. By contacting animal waste, house flies can acquire human pathogenic bacteria such as Escherichia coli and Salmonella spp., in addition to other bacteria, viruses, or parasites that may infect humans and a...

The major pathways for transport of pyrethroids were determined in runoff studies conducted at a full-scale test facility in central California, USA. The 6 replicate house lots were typical of front lawns and house fronts of California residential developments and consisted of stucco walls, garage doors, driveways, and residential lawn irrigation sprinkler systems. Each of the 6 lots also inclu...

his paper analyzes the legislative influence of upper houses in bicameral legislatures. We note the existence of two separate analytical traditions, one focusing on upper house expertise, the other on upper house power. We hypothesize that because legislative analyses of unitary systems focus primarily on the "efficient" aspects of upper house input, they tend to emphasize senatorial expertise....